DR. SHANTI SMITHA TELIKICHERLA KANDALA
NPI 1659756252
Dentist in Worcester, MA

Q: What is Shanti Smitha Telikicherla Kandala's NPI number?

The NPI number for Shanti Smitha Telikicherla Kandala is 1659756252. It was assigned to this individual provider in the NPPES registry on July 23, 2015.

Q: What is Shanti Smitha Telikicherla Kandala's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Active since July 23, 2015PECOS Enrolled

19 TACOMA ST, WORCESTER, MA 01605(508) 854-2122(508) 854-2122 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 17, 2018, Oct 30, 2017 (2 updates tracked since 2017).

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About Dr. Shanti Smitha Telikicherla Kandala NPPES

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

DR. SHANTI SMITHA TELIKICHERLA KANDALA (NPI 1659756252) is an individual dentist in Worcester, Massachusetts, licensed in Massachusetts (DL13493) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1659756252

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameDR. SHANTI SMITHA TELIKICHERLA KANDALA

Location Address19 TACOMA STWorcester, MA 01605-3516

Mailing Address650 Lincoln StWorcester, MA 01605-2060 · (508) 852-1805

Phone(508) 854-2122

Fax(508) 854-2122

Sole ProprietorNo

Enumeration DateJuly 23, 2015

Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration

✔ NPI 1659756252 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

Licenses✔ Licensed in MA · DL13493✔ Licensed in MA · DL12643

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

19 TACOMA ST, Worcester, MA 01605

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Secondary Practice Locations 3

Location 1200 High StClinton, MA 01510-2556 · Phone (978) 368-0340

Location 280 Redbud Way Apt 23Marlborough, MA 01752-5928 · Phone (865) 382-3915

Location 332 Concord StFramingham, MA 01702-8302 · Phone (508) 270-2635 · Fax (508) 370-0113

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Sheld, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Shanti Smitha Telikicherla Kandala 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.

Medicare Billing Reassignment

Medicare enrollment records show Shanti Smitha Telikicherla Kandala reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Edward M. Kennedy Community Health Center, Inc

Same address

Federally Qualified Health Center (FQHC)

19 TACOMA ST
Worcester, MA 01605

Reassigned Medicare billing, Massachusetts enrollment
147 clinicians in this Medicare group

NPI 1609842152 (508) 852-1805

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01605 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

$90.70 typical visit price

range $58.86 – $177.36

Typical copayment $22.67 (range $14.71 – $44.34)

Most-billed visit code 99203

Established Patient

$73.22 typical visit price

range $19.11 – $144.84

Typical copayment $18.30 (range $4.77 – $36.21)

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 20

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

ANNE WALTON

Registered Nurse