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SANJANA REDDY MAMIDI DDS
NPI 1689414872
Dentist - General Practice in Philadelphia, PA

Active since May 28, 2024PECOS Enrolled
2301 E ALLEGHENY AVE, PHILADELPHIA, PA 19134(215) 282-8000 Get Directions Write a Review

NPPES record last updated: May 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sanjana Reddy Mamidi Dds NPPES

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

SANJANA REDDY MAMIDI DDS (NPI 1689414872) is an individual general practice provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (DS045038) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS and maintains a secondary practice location in Long Branch.

NPPES Registry Identity

NPI1689414872
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameSANJANA REDDY MAMIDICredential: DDS
Location Address2301 E ALLEGHENY AVEPhiladelphia, PA 19134-4427
Mailing Address36 Greyhound CtKendall Park, NJ 08824-1492
Phone(215) 282-8000
Sole ProprietorNo
Enumeration DateMay 28, 2024
Last NPPES UpdateMay 15, 2025
NPPES CertifiedMay 15, 2025
✔ NPI 1689414872 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 PA · DS045038
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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2301 E ALLEGHENY AVE, Philadelphia, PA 19134
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Secondary Practice Location 1

Location 1300 2nd AveLong Branch, NJ 07740-6303 · Phone (732) 923-6790

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sanjana Reddy Mamidi 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 19134 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

CHERAG DARUWALA MD
Internal Medicine (Gastroenterology)
2301 E ALLEGHENY AVE, SUITE 190B
PHILADELPHIA, PA 19134
Philadelphia County (215) 926-3120
MARIA SALIB
Dentist (Pediatric Dentistry)
2301 E ALLEGHENY AVE
PHILADELPHIA, PA 19134
Philadelphia County (215) 282-8000
DONNA SIMMERS CRNA
Nurse Anesthetist, Certified Registered
2301 E ALLEGHENY AVE
PHILADELPHIA, PA 19134
Philadelphia County (215) 291-3000
R & B MEDICAL MANAGEMENT, INC
Clinic/Center (Occupational Medicine)
2301 E ALLEGHENY AVE, NORTHEASTERN HOSPITAL
PHILADELPHIA, PA 19134
Philadelphia County (215) 291-3056
DR. BRITTNIE PANG DMD
Dentist
2301 E ALLEGHENY AVE
PHILADELPHIA, PA 19134
Philadelphia County (954) 881-8619
TEMPLE UNIVERSITY HOSPITAL, INC
Pharmacy (Home Infusion Therapy Pharmacy)
2301 E ALLEGHENY AVE
PHILADELPHIA, PA 19134
Philadelphia County (800) 836-7536
LAKSHMI MURTHY MD
Anesthesiology
2301 E ALLEGHENY AVE
PHILADELPHIA, PA 19134
Philadelphia County (215) 291-3000
DR. JOVITA ANN DEVASIA DMD
Student in an Organized Health Care Education/Training Program
2301 E ALLEGHENY AVE
PHILADELPHIA, PA 19134
Philadelphia County (215) 282-8000

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 Sanjana Mamidi's NPI number?

The NPI number for Sanjana Mamidi is 1689414872. It was assigned to this individual provider in the NPPES registry on May 28, 2024.

Where is Sanjana Mamidi located?

Sanjana Mamidi practices at 2301 E Allegheny Ave, Philadelphia, PA 19134. The listed phone number is (215) 282-8000.

What is Sanjana Mamidi's specialty?

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

Is Sanjana Mamidi enrolled in Medicare?

Yes. Sanjana Mamidi is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sanjana Mamidi was last updated on May 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.