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POOJA VAJAPEYAM MANTRAVADI D.D.S
NPI 1659824183
Dentist - Oral and Maxillofacial Surgery in Frisco, TX

Active since August 02, 2016Opted out of Medicare · through Jun 20, 2027
6351 PRESTON RD STE 200, FRISCO, TX 75034(972) 712-5035 Get Directions Write a Review

NPPES record last updated: January 14, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 4, 2023, Oct 11, 2022 (2 updates tracked since 2022).

About Pooja Vajapeyam Mantravadi D.d.s NPPES

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

POOJA VAJAPEYAM MANTRAVADI D.D.S (NPI 1659824183) is an individual oral and maxillofacial surgery provider in Frisco, Texas, licensed in Texas (38850) and active in the NPI registry since August 2016. She has opted out of Medicare through June 20, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1659824183
Entity TypeIndividualFemale
Primary Taxonomy1223S0112X
Provider Legal NamePOOJA VAJAPEYAM MANTRAVADICredential: D.D.S
Location Address6351 PRESTON RD STE 200Frisco, TX 75034-6058
Mailing Address6351 Preston Rd Ste 200Frisco, TX 75034-6058 · (972) 712-5035
Phone(972) 712-5035
Sole ProprietorNo
Enumeration DateAugust 2, 2016
Last NPPES UpdateJanuary 14, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 14, 2025
✔ NPI 1659824183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in TX · 38850
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
6351 PRESTON RD STE 200, Frisco, TX 75034
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Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Pooja Vajapeyam Mantravadi D.d.s has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 20, 2023 through June 20, 2027.

Opt-Out Effective DateJune 20, 2023
Opt-Out In Effect ThroughJune 20, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75034 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

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 Pooja Mantravadi's NPI number?

The NPI number for Pooja Mantravadi is 1659824183. It was assigned to this individual provider in the NPPES registry on August 2, 2016.

Where is Pooja Mantravadi located?

Pooja Mantravadi practices at 6351 Preston Rd Ste 200, Frisco, TX 75034. The listed phone number is (972) 712-5035.

What is Pooja Mantravadi's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Pooja Mantravadi enrolled in Medicare?

No. Pooja Mantravadi has opted out of Medicare through June 20, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Pooja Mantravadi accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 10 other insurers list Pooja Mantravadi 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 Pooja Mantravadi was last updated on January 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.