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DR. SIMHA VAIBHAVA REDDY KUKUNOORU B.D.S
NPI 1598074619
Dentist - Periodontics in St Petersburg, FL

Active since October 07, 2010PECOS Enrolled
1799 66TH ST N, ST PETERSBURG, FL 33710(727) 222-3220 Get Directions Write a Review

NPPES record last updated: July 8, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 8, 2024, Dec 31, 2015 (2 updates tracked since 2015).

About Dr. Simha Vaibhava Reddy Kukunooru B.d.s NPPES

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

DR. SIMHA VAIBHAVA REDDY KUKUNOORU B.D.S (NPI 1598074619) is an individual periodontics provider in St Petersburg, Florida, licensed in Florida (DN19262) and active in the NPI registry since October 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1598074619
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. SIMHA VAIBHAVA REDDY KUKUNOORUCredential: B.D.S
Location Address1799 66TH ST NSt Petersburg, FL 33710-5537
Mailing Address1799 66th St NSt Petersburg, FL 33710-5537 · (205) 807-6322
Phone(727) 222-3220
Sole ProprietorYes
Enumeration DateOctober 7, 2010
Last NPPES UpdateJuly 8, 20242 updates tracked since enumeration
NPPES CertifiedJuly 8, 2024
✔ NPI 1598074619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in FL · DN19262
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
1799 66TH ST N, St Petersburg, FL 33710
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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. Simha Vaibhava Reddy Kukunooru B.d.s 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 33710 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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. MAYDELIN MARTINEZ-BLANCO DDS
Dentist (General Practice)
1799 66TH ST N
SAINT PETERSBURG, FL 33710
Pinellas County (727) 343-2438
DR. LOREN ORLICK DMD
Dentist
1799 66TH ST N
ST PETERSBURG, FL 33710
Pinellas County (727) 343-2438
SUNSHINE PERIODONTICS AND IMPLANT DENTISTRY PLLC
Dentist (Periodontics)
1799 66TH ST N
SAINT PETERSBURG, FL 33710
Pinellas County (727) 222-3220

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 Simha Kukunooru's NPI number?

The NPI number for Simha Kukunooru is 1598074619. It was assigned to this individual provider in the NPPES registry on October 7, 2010.

Where is Simha Kukunooru located?

Simha Kukunooru practices at 1799 66th St N, St Petersburg, FL 33710. The listed phone number is (727) 222-3220.

What is Simha Kukunooru's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Simha Kukunooru enrolled in Medicare?

Yes. Simha Kukunooru is registered in the Medicare PECOS enrollment system.

What insurance does Simha Kukunooru accept?

Health plans from Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Guardian and 1 other insurer list Simha Kukunooru 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 Simha Kukunooru was last updated on July 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.