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DR. PRADEEP ANDREW KISSOONDIAL D.D.S.
NPI 1548346232
Dentist - Oral and Maxillofacial Surgery in Sterling Heights, MI

Active since October 27, 2006PECOS EnrolledAccepts Medicare Assignment
42051 MOUND RD, STERLING HEIGHTS, MI 48314(586) 323-7700(586) 323-7707 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Pradeep Andrew Kissoondial D.d.s. NPPES

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

DR. PRADEEP ANDREW KISSOONDIAL D.D.S. (NPI 1548346232) is an individual oral and maxillofacial surgery provider in Sterling Heights, Michigan, licensed in Michigan (017432) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1548346232
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. PRADEEP ANDREW KISSOONDIALCredential: D.D.S.
Location Address42051 MOUND RDSterling Heights, MI 48314-3143
Mailing Address42051 Mound RdSterling Heights, MI 48314-3143 · (586) 323-7700 · Fax (586) 323-7707
Phone(586) 323-7700
Fax(586) 323-7707
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateOctober 27, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1548346232 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in MI · 017432
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
42051 MOUND RD, Sterling Heights, MI 48314
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Other Identifiers 2

Medicare UPINU99142MI
Medicare ID-Type UnspecifiedP1395001MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana 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 and accepts Medicare assignment

Dr. Pradeep Andrew Kissoondial D.d.s. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8224027420
PECOS Enrollment IDI20040512000061
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 48314 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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 3

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

DR. JACK FRANK MOORES III DDS
Dentist (Oral and Maxillofacial Surgery)
42051 MOUND RD
STERLING HEIGHTS, MI 48314
Macomb County (586) 323-7700
OAKLAND ORAL SURGERY ASSOCIATES
Dentist (Oral and Maxillofacial Surgery)
42051 MOUND RD
STERLING HEIGHTS, MI 48314
Macomb County (586) 323-7700
DR. EDWARD MARK ROYAL DMD
Dentist (Oral and Maxillofacial Surgery)
42051 MOUND RD
STERLING HEIGHTS, MI 48314
Macomb County (586) 323-7700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pradeep Kissoondial's NPI number?

The NPI number for Pradeep Kissoondial is 1548346232. It was assigned to this individual provider in the NPPES registry on October 27, 2006.

Where is Pradeep Kissoondial located?

Pradeep Kissoondial practices at 42051 Mound Rd, Sterling Heights, MI 48314. The listed phone number is (586) 323-7700.

What is Pradeep Kissoondial's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Pradeep Kissoondial enrolled in Medicare?

Yes. Pradeep Kissoondial is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Pradeep Kissoondial accept?

Health plans from BEST Life, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 8 other insurers list Pradeep Kissoondial as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pradeep Kissoondial was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.