DR. PRASHANTH KONATHAM HARIBABU DDS, BDS, MDS, MSD
NPI 1811317142
Dentist in St Louis, MO

Q: What is Prashanth Konatham Haribabu's NPI number?

The NPI number for Prashanth Konatham Haribabu is 1811317142. It was assigned to this individual provider in the NPPES registry on April 25, 2014.

Q: What is Prashanth Konatham Haribabu's specialty?

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

Active since April 25, 2014PECOS Enrolled

1500 PARK AVE, ORAL MAXILLOFACIAL SURGERY, ST LOUIS, MO 63104(146) 853-5793(314) 588-8437 Get Directions Write a Review

NPPES record last updated: October 3, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Prashanth Konatham Haribabu Dds, Bds, Mds, Msd NPPES

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

DR. PRASHANTH KONATHAM HARIBABU DDS, BDS, MDS, MSD (NPI 1811317142) is an individual dentist in St Louis, Missouri, licensed in Missouri (2018032931) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811317142

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. PRASHANTH KONATHAM HARIBABUCredential: DDS, BDS, MDS, MSD

Location Address1500 PARK AVE, ORAL MAXILLOFACIAL SURGERYSt Louis, MO 63104-3024

Mailing Address1500 Park AveSaint Louis, MO 63104-3024 · (314) 833-2723 · Fax (314) 588-8437

Phone(146) 853-5793

Fax(314) 588-8437

Sole ProprietorYes

Enumeration DateApril 25, 2014

Last NPPES UpdateOctober 3, 2019

✔ NPI 1811317142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in MO · 2018032931

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.

Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X · License 2901021748 (MI)

1500 PARK AVE, St Louis, MO 63104

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Other Identifiers 1

Medicaid14339940MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.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. Prashanth Konatham Haribabu Dds, Bds, Mds, Msd 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 63104 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

$86.32 typical visit price

range $55.65 – $169.38

Typical copayment $21.58 (range $13.91 – $42.34)

Most-billed visit code 99203

Established Patient

$69.50 typical visit price

range $17.76 – $137.92

Typical copayment $17.37 (range $4.44 – $34.48)

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.

YASMEEN FATIMA

Student in an Organized Health Care Education/Training Program