ANDRES SIERRAALTA
NPI 1790188274
Dentist - General Practice in Ann Arbor, MI

Active since September 29, 2014PECOS Enrolled
1011 N UNIVERSITY AVE, ANN ARBOR, MI 48109(734) 763-0518(734) 763-3453 Get Directions Write a Review

NPPES record last updated: September 29, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Andres Sierraalta NPPES

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

ANDRES SIERRAALTA (NPI 1790188274) is an individual general practice provider in Ann Arbor, Michigan, licensed in Michigan (2901021395) and active in the NPI registry since September 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790188274
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameANDRES SIERRAALTA
Location Address1011 N UNIVERSITY AVEAnn Arbor, MI 48109-1078
Mailing Address1011 N University AveAnn Arbor, MI 48109-1078 · (734) 763-0518 · Fax (734) 763-3453
Fax(734) 763-3453
Sole ProprietorNo
Enumeration DateSeptember 29, 2014
NPI 1790188274 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in MI · 2901021395
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.
1011 N UNIVERSITY AVE, Ann Arbor, MI 48109

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Andres Sierraalta 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 48109 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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.

Dentist (General Practice)
1011 N UNIVERSITY AVE
ANN ARBOR, MI 48109
Dentist (General Practice)
1011 N UNIVERSITY AVE
ANN ARBOR, MI 48109
Dentist (General Practice)
1011 N UNIVERSITY AVE
ANN ARBOR, MI 48109
Dentist
1011 N UNIVERSITY AVE
ANN ARBOR, MI 48109
Dentist (General Practice)
1011 N UNIVERSITY AVE
ANN ARBOR, MI 48109
Dentist
1011 N UNIVERSITY AVE, ROOM 2008, SPC 1078
ANN ARBOR, MI 48109
Dentist
1011 N UNIVERSITY AVE
ANN ARBOR, MI 48109
Dentist (General Practice)
1011 N UNIVERSITY AVE
ANN ARBOR, MI 48109

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 Andres Sierraalta's NPI number?

The NPI number for Andres Sierraalta is 1790188274. It was assigned to this individual provider in the NPPES registry on September 29, 2014.

Where is Andres Sierraalta located?

Andres Sierraalta practices at 1011 N University Ave, Ann Arbor, MI 48109. The listed phone number is (734) 763-0518.

What is Andres Sierraalta's specialty?

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

Is Andres Sierraalta enrolled in Medicare?

Yes. Andres Sierraalta is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Andres Sierraalta was last updated on September 29, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.