1. Home
  2. Directory
  3. Mississippi
  4. Leland
  5. Dentist
  6. NPI Profile

SREENIVAS KOKA D.D.S.
NPI 1699753319
Dentist - Prosthodontics in Leland, MS

Active since January 03, 2006PECOS Enrolled
201 BAKER BLVD, LELAND, MS 38756(662) 686-4121(662) 686-4770 Get Directions Write a Review

NPPES record last updated: November 5, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Sreenivas Koka D.d.s. NPPES

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

SREENIVAS KOKA D.D.S. (NPI 1699753319) is an individual prosthodontics provider in Leland, Mississippi, licensed in California (63470) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in San Diego.

NPPES Registry Identity

NPI1699753319
Entity TypeIndividualMale
Primary Taxonomy1223P0700X
Provider Legal NameSREENIVAS KOKACredential: D.D.S.
Location Address201 BAKER BLVDLeland, MS 38756-3401
Mailing Address201 Baker BlvdLeland, MS 38756-3401 · (662) 686-4121 · Fax (662) 686-4770
Phone(662) 686-4121
Fax(662) 686-4770
Sole ProprietorNo
Enumeration DateJanuary 3, 2006
Last NPPES UpdateNovember 5, 2024
NPPES CertifiedNovember 5, 2024
✔ NPI 1699753319 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · ProsthodonticsDental Providers
Taxonomy Code1223P0700X
License✔ Licensed in CA · 63470
Definition
That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
201 BAKER BLVD, Leland, MS 38756
Open in Google Maps ↗

Secondary Practice Location 1

Location 18031 Linda Vista Rd, Suite 210San Diego, CA 92111-5110 · Phone (858) 268-5020

Other Identifiers 3

Medicaid587433500MN
Medicaid33828500WI
OtherP00918769MN · Railroad Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter Health 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)

Sreenivas Koka D.d.s. 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 Sreenivas Koka reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Indianola Clinic, LLC
0.2 mi
Federally Qualified Health Center (FQHC)
201 BAKER BLVD
Leland, MS 38756
  • Reassigned Medicare billing, Mississippi enrollment
  • 13 clinicians in this Medicare group
NPI 1679673917 (662) 686-4121

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 38756 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$64.96 typical visit price
range $16.15 – $129.61
Typical copayment $16.24 (range $4.03 – $32.40)
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.

TASHIRI WHEELER P-LPC, NCC
Counselor (Mental Health)
201 BAKER BLVD
LELAND, MS 38756
Washington County (662) 686-4121
MRS. KATHARINE DOUGLAS GUEST PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
201 BAKER BLVD
LELAND, MS 38756
Washington County (662) 686-4121
HEATHER LLOYD CFNP
Nurse Practitioner (Family)
201 BAKER BLVD
LELAND, MS 38756
Washington County (662) 686-4121
CARRIE WHITT CCC-SLP
Speech-Language Pathologist
201 BAKER BLVD
LELAND, MS 38756
Washington County (662) 686-4121
DELTA HEALTH ALLIANCE
Clinic/Center
201 BAKER BLVD
LELAND, MS 38756
Washington County (662) 686-4121
LEERIN D SIMPSON TRIPLETT SLP
Speech-Language Pathologist
201 BAKER BLVD
LELAND, MS 38756
Washington County (662) 686-4121
FELICIA R WALKER SLP
Speech-Language Pathologist
201 BAKER BLVD
LELAND, MS 38756
Washington County (662) 686-4121
SHEENA BROWN LPC
Counselor (Professional)
201 BAKER BLVD
LELAND, MS 38756
Washington County (662) 686-4121

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 Sreenivas Koka's NPI number?

The NPI number for Sreenivas Koka is 1699753319. It was assigned to this individual provider in the NPPES registry on January 3, 2006.

Where is Sreenivas Koka located?

Sreenivas Koka practices at 201 Baker Blvd, Leland, MS 38756. The listed phone number is (662) 686-4121.

What is Sreenivas Koka's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.

Is Sreenivas Koka enrolled in Medicare?

Yes. Sreenivas Koka is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sreenivas Koka's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sreenivas Koka reassigns Medicare benefits to Indianola Clinic, LLC (Leland, MS). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sreenivas Koka's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sreenivas Koka accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 7 other insurers list Sreenivas Koka 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 Sreenivas Koka was last updated on November 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.