DR. ANISHA KRISHNAN THONDUKOLAM DDS
NPI 1609109768
Dentist - Periodontics in San Ramon, CA

Q: What is Anisha Thondukolam's NPI number?

The NPI number for Anisha Thondukolam is 1609109768. It was assigned to this individual provider in the NPPES registry on September 8, 2009.

Q: What is Anisha Thondukolam's specialty?

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

Active since September 08, 2009PECOS Enrolled

591 FALLEN LEAF CIR, SAN RAMON, CA 94583(510) 604-5776 Get Directions Write a Review

NPPES record last updated: April 1, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Anisha Krishnan Thondukolam Dds NPPES

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

DR. ANISHA KRISHNAN THONDUKOLAM DDS (NPI 1609109768) is an individual periodontics provider in San Ramon, California, licensed in California (62123) and active in the NPI registry since September 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609109768

Entity TypeIndividualFemale

Primary Taxonomy1223P0300X

Provider Legal NameDR. ANISHA KRISHNAN THONDUKOLAMCredential: DDS

Location Address591 FALLEN LEAF CIRSan Ramon, CA 94583-5305

Mailing Address591 Fallen Leaf CirSan Ramon, CA 94583-5305 · (510) 604-5776

Phone(510) 604-5776

Sole ProprietorNo

Enumeration DateSeptember 8, 2009

Last NPPES UpdateApril 1, 2013

✔ NPI 1609109768 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers

Taxonomy Code1223P0300X

License✔ Licensed in CA · 62123

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.

591 FALLEN LEAF CIR, San Ramon, CA 94583

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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 Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas 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. Anisha Krishnan Thondukolam 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 94583 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

$104.51 typical visit price

range $69.00 – $202.35

Typical copayment $26.12 (range $17.25 – $50.58)

Most-billed visit code 99203

Established Patient

$84.91 typical visit price

range $23.44 – $166.46

Typical copayment $21.22 (range $5.86 – $41.61)

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

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

DR. THO BUI DDS

Dentist (General Practice)

591 FALLEN LEAF CIR
SAN RAMON, CA 94583

Contra Costa County (682) 552-3102

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 Anisha Thondukolam's NPI number?

The NPI number for Anisha Thondukolam is 1609109768. It was assigned to this individual provider in the NPPES registry on September 8, 2009.

Where is Anisha Thondukolam located?

Anisha Thondukolam practices at 591 Fallen Leaf Cir, San Ramon, CA 94583. The listed phone number is (510) 604-5776.

What is Anisha Thondukolam's specialty?

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

Is Anisha Thondukolam enrolled in Medicare?

Yes. Anisha Thondukolam is registered in the Medicare PECOS enrollment system.

What insurance does Anisha Thondukolam accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Humana and UnitedHealthcare list Anisha Thondukolam 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 Anisha Thondukolam was last updated on April 1, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.