DR. BINAL HEMANT PANDYA DDS
NPI 1770078990
Dentist - General Practice in Indianapolis, IN

Active since June 29, 2018PECOS Enrolled
5457 W 38TH ST, INDIANAPOLIS, IN 46254(317) 291-9000 Get Directions Write a Review

NPPES record last updated: June 29, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Binal Hemant Pandya Dds NPPES

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

DR. BINAL HEMANT PANDYA DDS (NPI 1770078990) is an individual general practice provider in Indianapolis, Indiana, licensed in Indiana (12012969A) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770078990
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. BINAL HEMANT PANDYACredential: DDS
Location Address5457 W 38TH STIndianapolis, IN 46254-2917
Mailing Address4329 Thrush DrIndianapolis, IN 46222-1244 · (317) 298-8777
Sole ProprietorNo
Enumeration DateJune 29, 2018
NPI 1770078990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in IN · 12012969A
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.
5457 W 38TH ST, Indianapolis, IN 46254

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Binal Hemant Pandya 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 46254 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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

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

Dentist
5457 W 38TH ST
INDIANAPOLIS, IN 46254

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 Binal Pandya's NPI number?

The NPI number for Binal Pandya is 1770078990. It was assigned to this individual provider in the NPPES registry on June 29, 2018.

Where is Binal Pandya located?

Binal Pandya practices at 5457 W 38th St, Indianapolis, IN 46254. The listed phone number is (317) 291-9000.

What is Binal Pandya's specialty?

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

Is Binal Pandya enrolled in Medicare?

Yes. Binal Pandya is registered in the Medicare PECOS enrollment system.

What insurance does Binal Pandya accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, BEST Life and Blue Cross and Blue Shield of Montana and 12 other insurers list Binal Pandya 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 Binal Pandya was last updated on June 29, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.