DR. RAGHAVENDRA SUMANTH PHANI CHALLA DDS
NPI 1508320532
Dentist - General Practice in Holyoke, MA

Q: What is Raghavendra Challa's NPI number?

The NPI number for Raghavendra Challa is 1508320532. It was assigned to this individual provider in the NPPES registry on January 23, 2019.

Q: What is Raghavendra Challa's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since January 23, 2019PECOS Enrolled

230 MAPLE ST STE 1, HOLYOKE, MA 01040(413) 420-2200(413) 539-9472 Get Directions Write a Review

NPPES record last updated: March 25, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 13, 2020, Jan 23, 2019 (2 updates tracked since 2019).

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About Dr. Raghavendra Sumanth Phani Challa Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RAGHAVENDRA SUMANTH PHANI CHALLA DDS (NPI 1508320532) is an individual general practice provider in Holyoke, Massachusetts, licensed in Massachusetts (DN1858555) and active in the NPI registry since January 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508320532

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. RAGHAVENDRA SUMANTH PHANI CHALLACredential: DDS

Location Address230 MAPLE ST STE 1Holyoke, MA 01040-5140

Mailing Address230 Maple St Ste 1Holyoke, MA 01040-5140 · (413) 420-2200 · Fax (413) 539-9472

Phone(413) 420-2200

Fax(413) 539-9472

Sole ProprietorNo

Enumeration DateJanuary 23, 2019

Last NPPES UpdateMarch 25, 20242 updates tracked since enumeration

NPPES CertifiedMarch 25, 2024

✔ NPI 1508320532 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Licenses✔ Licensed in MA · DN1858555✔ Licensed in CO · DEN.00203866

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

230 MAPLE ST STE 1, Holyoke, MA 01040

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, BEST Life and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Raghavendra Sumanth Phani Challa Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01040 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$90.70 typical visit price

range $58.86 – $177.36

Typical copayment $22.67 (range $14.71 – $44.34)

Most-billed visit code 99203

Established Patient

$73.22 typical visit price

range $19.11 – $144.84

Typical copayment $18.30 (range $4.77 – $36.21)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELIZABETH POKU

Registered Nurse (Community Health)