DR. SUSHILPA MANGINENI DDS
NPI 1639340284
Dentist - General Practice in Portland, OR

Active since March 21, 2008PECOS Enrolled
4104 SE 82ND AVE STE 450, PORTLAND, OR 97266(503) 771-4324 Get Directions Write a Review

NPPES record last updated: May 21, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Sushilpa Mangineni Dds NPPES

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

DR. SUSHILPA MANGINENI DDS (NPI 1639340284) is an individual general practice provider in Portland, Oregon, licensed in Oregon (D9023) and active in the NPI registry since March 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639340284
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. SUSHILPA MANGINENICredential: DDS
Location Address4104 SE 82ND AVE STE 450Portland, OR 97266-2958
Mailing Address6950 Ne Campus WayHillsboro, OR 97124-5611 · (503) 952-2125
Sole ProprietorNo
Enumeration DateMarch 21, 2008
Last NPPES UpdateMay 21, 2015
NPI 1639340284 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in OR · D9023
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.

4104 SE 82ND AVE STE 450, Portland, OR 97266

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 (PECOS)

Dr. Sushilpa Mangineni 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 97266 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
$90.51 typical visit price
range $58.99 – $176.88
Typical copayment $22.62 (range $14.74 – $44.22)
Most-billed visit code 99203
Established Patient
$73.28 typical visit price
range $19.32 – $144.79
Typical copayment $18.32 (range $4.83 – $36.19)
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.

Dentist (General Practice)
4104 SE 82ND AVE STE 450
PORTLAND, OR 97266
Dental Hygienist
4104 SE 82ND AVE STE 450
PORTLAND, OR 97266
Dental Hygienist
4104 SE 82ND AVE STE 450
PORTLAND, OR 97266

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 Sushilpa Mangineni's NPI number?

The NPI number for Sushilpa Mangineni is 1639340284. It was assigned to this individual provider in the NPPES registry on March 21, 2008.

Where is Sushilpa Mangineni located?

Sushilpa Mangineni practices at 4104 SE 82nd Ave Ste 450, Portland, OR 97266. The listed phone number is (503) 771-4324.

What is Sushilpa Mangineni's specialty?

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

Is Sushilpa Mangineni enrolled in Medicare?

Yes. Sushilpa Mangineni is registered in the Medicare PECOS enrollment system.

What insurance does Sushilpa Mangineni accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HRI Dental & Vision and 3 other insurers list Sushilpa Mangineni 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 Sushilpa Mangineni was last updated on May 21, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.