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PRASHANT CHARUGUNDLA DDS
NPI 1700317401
Oral & Maxillofacial Surgery in Portland, OR

Active since March 23, 2017Opted out of Medicare · through Oct 15, 2027
3332 N LOMBARD ST STE C, PORTLAND, OR 97217(503) 548-2006(503) 548-2012 Get Directions Write a Review

NPPES record last updated: April 6, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Apr 6, 2026, Nov 6, 2024, Oct 13, 2023 and 3 more (6 updates tracked since 2017).

About Prashant Charugundla Dds NPPES

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

PRASHANT CHARUGUNDLA DDS (NPI 1700317401) is an individual oral & maxillofacial surgery provider in Portland, Oregon, licensed in Oregon (D11891) and active in the NPI registry since March 2017. He has opted out of Medicare through October 15, 2027 and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1700317401
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NamePRASHANT CHARUGUNDLACredential: DDS
Location Address3332 N LOMBARD ST STE CPortland, OR 97217-1258
Mailing Address3332 N Lombard St Ste CPortland, OR 97217-1258 · (503) 548-2006 · Fax (503) 548-2012
Phone(503) 548-2006
Fax(503) 548-2012
Sole ProprietorNo
Enumeration DateMarch 23, 2017
Last NPPES UpdateApril 6, 20266 updates tracked since enumeration
NPPES CertifiedApril 6, 2026
✔ NPI 1700317401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
License✔ Licensed in OR · D11891
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
3332 N LOMBARD ST STE C, Portland, OR 97217
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Secondary Practice Locations 3

Location 15880 NE Cornell RdHillsboro, OR 97124-9075 · Phone (503) 420-3997 · Fax (866) 268-9618
Location 22021 Concert Dr Fl 3Virginia Beach, VA 23456-8082 · Phone (757) 668-7713 · Fax (757) 668-7711
Location 3301 Riverview Ave Ste 3Norfolk, VA 23510-1065 · Phone (757) 668-7713 · Fax (757) 668-7711

Accepted Insurance

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

Prashant Charugundla Dds 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 October 15, 2025 through October 15, 2027.

Opt-Out Effective DateOctober 15, 2025
Opt-Out In Effect ThroughOctober 15, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

SUMMIT OREGON LLC
Oral & Maxillofacial Surgery
3332 N LOMBARD ST STE C
PORTLAND, OR 97217
Multnomah County (503) 548-2006

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 Prashant Charugundla's NPI number?

The NPI number for Prashant Charugundla is 1700317401. It was assigned to this individual provider in the NPPES registry on March 23, 2017.

Where is Prashant Charugundla located?

Prashant Charugundla practices at 3332 N Lombard St Ste C, Portland, OR 97217. The listed phone number is (503) 548-2006.

What is Prashant Charugundla's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Prashant Charugundla enrolled in Medicare?

No. Prashant Charugundla has opted out of Medicare through October 15, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Prashant Charugundla accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BridgeSpan Health Company and 9 other insurers list Prashant Charugundla 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 Prashant Charugundla was last updated on April 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.