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DR. LAKSHMI MANASA NALLAMOTHU DDS
NPI 1619584141
Dentist - General Practice in Peoria, AZ

Active since September 29, 2020PECOS Enrolled
14155 N 83RD AVE STE 113, PEORIA, AZ 85381(602) 626-3985 Get Directions Write a Review

NPPES record last updated: May 11, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 11, 2022, Sep 29, 2020 (2 updates tracked since 2020).

About Dr. Lakshmi Manasa Nallamothu Dds NPPES

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

DR. LAKSHMI MANASA NALLAMOTHU DDS (NPI 1619584141) is an individual general practice provider in Peoria, Arizona, licensed in North Carolina (12067) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619584141
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. LAKSHMI MANASA NALLAMOTHUCredential: DDS
Location Address14155 N 83RD AVE STE 113Peoria, AZ 85381-5655
Mailing Address14155 N 83rd Ave Ste 113Peoria, AZ 85381-5655
Phone(602) 626-3985
Sole ProprietorNo
Enumeration DateSeptember 29, 2020
Last NPPES UpdateMay 11, 20222 updates tracked since enumeration
NPPES CertifiedMay 11, 2022
✔ NPI 1619584141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NC · 12067
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.
Also ListedDentistTaxonomy 122300000X · License 11219 (AZ)
14155 N 83RD AVE STE 113, Peoria, AZ 85381
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee 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. Lakshmi Manasa Nallamothu 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 85381 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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 2

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

SYLVIA KAMEL DDS
Dentist
14155 N 83RD AVE STE 113
PEORIA, AZ 85381
Maricopa County (623) 986-3965
AN ELEGANT SMILE DENTISTRY
Dentist
14155 N 83RD AVE STE 113
PEORIA, AZ 85381
Maricopa County (623) 486-5222

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 Lakshmi Nallamothu's NPI number?

The NPI number for Lakshmi Nallamothu is 1619584141. It was assigned to this individual provider in the NPPES registry on September 29, 2020.

Where is Lakshmi Nallamothu located?

Lakshmi Nallamothu practices at 14155 N 83rd Ave Ste 113, Peoria, AZ 85381. The listed phone number is (602) 626-3985.

What is Lakshmi Nallamothu's specialty?

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

Is Lakshmi Nallamothu enrolled in Medicare?

Yes. Lakshmi Nallamothu is registered in the Medicare PECOS enrollment system.

What insurance does Lakshmi Nallamothu accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Anthem Blue Cross and Blue Shield and Blue Cross and Blue Shield of Alabama and 8 other insurers list Lakshmi Nallamothu 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 Lakshmi Nallamothu was last updated on May 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.