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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SIVA SAI KUMAR GANDHAM DDS
NPI 1841023249
Dentist - General Practice in Medford, WI

Active since August 21, 2024PECOS Enrolled
843 W BROADWAY AVE, MEDFORD, WI 54451(715) 785-8100 Get Directions Write a Review

NPPES record last updated: August 11, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 11, 2026, Feb 19, 2025, Aug 21, 2024 (3 updates tracked since 2024).

About Siva Sai Kumar Gandham Dds NPPES

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

SIVA SAI KUMAR GANDHAM DDS (NPI 1841023249) is an individual general practice provider in Medford, Wisconsin, licensed in Wisconsin (6002016-15) and active in the NPI registry since August 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1841023249
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameSIVA SAI KUMAR GANDHAMCredential: DDS
Location Address843 W BROADWAY AVEMedford, WI 54451-1307
Mailing Address1307 N Saint Joseph AveMarshfield, WI 54449-1340
Phone(715) 785-8100
Sole ProprietorNo
Enumeration DateAugust 21, 2024
Last NPPES UpdateAugust 11, 20263 updates tracked since enumeration
NPPES CertifiedAugust 11, 2026
✔ NPI 1841023249 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in WI · 6002016-15
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.
843 W BROADWAY AVE, Medford, WI 54451
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee 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)

Siva Sai Kumar Gandham 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 54451 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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 6

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

PRIYA SINHA
Dentist
843 W BROADWAY AVE
MEDFORD, WI 54451
Taylor County (715) 785-8100
FAMILY HEALTH CENTER OF MARSHFIELD, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
843 W BROADWAY AVE
MEDFORD, WI 54451
Taylor County (715) 785-8100
DR. EMMA ROSE STONG SAHYOUNI DMD
Dentist
843 W BROADWAY AVE
MEDFORD, WI 54451
Taylor County (715) 785-8100
FAMILY HEALTH CENTER OF MARSHFIELD, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
843 W BROADWAY AVE
MEDFORD, WI 54451
Taylor County (715) 233-6800
BRITTANY NICOLE RILEY DMD
Dentist
843 W BROADWAY AVE
MEDFORD, WI 54451
Taylor County (715) 785-8100
JIHO YANG DMD
Dentist
843 W BROADWAY AVE
MEDFORD, WI 54451
Taylor County (715) 785-8100

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 Siva Sai Kumar Gandham's NPI number?

The NPI number for Siva Sai Kumar Gandham is 1841023249. It was assigned to this individual provider in the NPPES registry on August 21, 2024.

Where is Siva Sai Kumar Gandham located?

Siva Sai Kumar Gandham practices at 843 W Broadway Ave, Medford, WI 54451. The listed phone number is (715) 785-8100.

What is Siva Sai Kumar Gandham's specialty?

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

Is Siva Sai Kumar Gandham enrolled in Medicare?

Yes. Siva Sai Kumar Gandham is registered in the Medicare PECOS enrollment system.

What insurance does Siva Sai Kumar Gandham accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Anthem Blue Cross and Blue Shield and BEST Life and 15 other insurers list Siva Sai Kumar Gandham 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 Siva Sai Kumar Gandham was last updated on August 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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.