VINUTHA NARAYAN RATTEHALLI DMD
NPI 1720648959
Dentist in Tampa, FL

Q: What is Vinutha Rattehalli's NPI number?

The NPI number for Vinutha Rattehalli is 1720648959. It was assigned to this individual provider in the NPPES registry on June 19, 2019.

Q: What is Vinutha Rattehalli's specialty?

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

Active since June 19, 2019PECOS Enrolled

6216 E SLIGH AVE, TAMPA, FL 33617(813) 866-0930 Get Directions Write a Review

NPPES record last updated: April 7, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 7, 2026, Oct 29, 2019, Jun 19, 2019 (3 updates tracked since 2019).

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About Vinutha Narayan Rattehalli Dmd NPPES

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

VINUTHA NARAYAN RATTEHALLI DMD (NPI 1720648959) is an individual dentist in Tampa, Florida, licensed in Florida (24298) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Tampa, and is a graduate of Boston Univ Goldman School Of Dental Medicine (2019).

NPPES Registry Identity

NPI1720648959

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameVINUTHA NARAYAN RATTEHALLICredential: DMD

Location Address6216 E SLIGH AVETampa, FL 33617-9105

Mailing Address302 W Fletcher AveTampa, FL 33612-3415

Phone(813) 866-0930

Sole ProprietorNo

Medical School CMSBoston Univ Goldman School Of Dental MedicineGraduated 2019

Enumeration DateJune 19, 2019

Last NPPES UpdateApril 7, 20263 updates tracked since enumeration

NPPES CertifiedApril 7, 2026

✔ NPI 1720648959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in FL · 24298

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.

6216 E SLIGH AVE, Tampa, FL 33617

Open in Google Maps ↗

Secondary Practice Location 1

Location 17814 N Dale Mabry HwyTampa, FL 33614-3220 · Phone (813) 866-0930

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Anthem Blue Cross and Blue Shield 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)

Vinutha Narayan Rattehalli Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1658601406

PECOS Enrollment IDI20260317001370

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 Vinutha Rattehalli reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Tampa Family Health Centers, Inc

Same address

Federally Qualified Health Center (FQHC)

6216 SLIGH AVE
Tampa, FL 33617

Reassigned Medicare billing, Florida enrollment
145 clinicians in this Medicare group

NPI 1851562367 (813) 549-8060

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 33617 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

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 8

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

LAUREN KORNACKER ARNP

Nurse Practitioner (Family)