SUPRITHA NILAM DDS
NPI 1629597562
Oral & Maxillofacial Surgery in Cincinnati, OH

Active since September 12, 2017PECOS EnrolledAccepts Medicare Assignment
222 PIEDMONT AVE, CINCINNATI, OH 45219(513) 475-8783(513) 475-7698 Get Directions Write a Review

NPPES record last updated: May 12, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 12, 2026, Jan 26, 2023, Jul 21, 2022 and 1 more (4 updates tracked since 2017).

About Supritha Nilam Dds NPPES

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

SUPRITHA NILAM DDS (NPI 1629597562) is an individual oral & maxillofacial surgery provider in Cincinnati, Ohio, licensed in Ohio (30.027873) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS, is affiliated with University Of Cincinnati Medical Center, Llc, and maintains a secondary practice location in Ellsworth.

NPPES Registry Identity

NPI1629597562
Entity TypeIndividualFemale
Primary Taxonomy204E00000X
Provider Legal NameSUPRITHA NILAMCredential: DDS
Location Address222 PIEDMONT AVECincinnati, OH 45219-4231
Mailing AddressPo Box 636256Cincinnati, OH 45263-6256 · (513) 585-6200 · Fax (513) 245-3672
Fax(513) 475-7698
Sole ProprietorNo
Medical School CMSUniversity Of California, Geffen School Of MedicineGraduated 2022
Enumeration DateSeptember 12, 2017
Last NPPES UpdateMay 12, 20264 updates tracked since enumeration
NPPES CertifiedMay 12, 2026
NPI 1629597562 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
Licenses Licensed in OH · 30.027873 Licensed in CA · 106194
Definition

Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.

Also ListedDentist · General PracticeTaxonomy 1223G0001X · License DEN4589 (ME)
Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X · License 30.027873 (OH)
222 PIEDMONT AVE, Cincinnati, OH 45219

Secondary Practice Location 1

Location 172 Beechland RdEllsworth, ME 04605-2533 · Phone (207) 667-6789

Other Identifiers 3

Medicaid7101055250KY
Medicaid300130293IN
Medicaid0139624OH

Accepted 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

Supritha Nilam Dds 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 ID6608379169
PECOS Enrollment IDI20250911000407
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of Cincinnati Medical Center, LLC

Acute Care Hospitals · Cincinnati, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360003
Location3188 Bellevue AvenueCincinnati, OH 45219 · Hamilton County
Emergency services Birthing friendly

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.

Specialist
222 PIEDMONT AVE, STE 2200
CINCINNATI, OH 45219
Specialist
222 PIEDMONT AVE, STE 8400
CINCINNATI, OH 45219
Urology
222 PIEDMONT AVE, STE. 7000
CINCINNATI, OH 45219
Surgery
222 PIEDMONT AVE, STE. 7000
CINCINNATI, OH 45219
Surgery
222 PIEDMONT AVE, STE. 7000
CINCINNATI, OH 45219
Urology
222 PIEDMONT AVE, STE. 7000
CINCINNATI, OH 45219
Transplant Surgery
222 PIEDMONT AVE, STE. 7000
CINCINNATI, OH 45219
Physician Assistant (Surgical)
222 PIEDMONT AVE, STE. 7000
CINCINNATI, OH 45219

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629597562, enumerated as an "individual" on September 12, 2017.

The provider is located at 222 PIEDMONT AVE CINCINNATI, OH 45219 and the phone number is (513) 475-8783.

Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.

Supritha Nilam is affiliated with: UNIVERSITY OF CINCINNATI MEDICAL CENTER, LLC.