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SAMIRA MUKKAMALA DMD
NPI 1861187346
Dentist - General Practice in Oak Brook, IL

Active since April 10, 2023PECOS Enrolled
2119 CLEARWATER DR, OAK BROOK, IL 60523(630) 990-7766 Get Directions Write a Review

NPPES record last updated: September 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 12, 2025, Apr 10, 2023 (2 updates tracked since 2023).

About Samira Mukkamala Dmd NPPES

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

SAMIRA MUKKAMALA DMD (NPI 1861187346) is an individual general practice provider in Oak Brook, Illinois, licensed in Illinois (019035526) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861187346
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameSAMIRA MUKKAMALACredential: DMD
Location Address2119 CLEARWATER DROak Brook, IL 60523-8821
Mailing Address28294 Ferry Rd Apt 271Warrenville, IL 60555-4065 · (334) 294-2241
Phone(630) 990-7766
Sole ProprietorYes
Enumeration DateApril 10, 2023
Last NPPES UpdateSeptember 12, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 12, 2025
✔ NPI 1861187346 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in IL · 019035526
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.

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas 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)

Samira Mukkamala Dmd 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 60523 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
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$74.38 typical visit price
range $19.15 – $147.12
Typical copayment $18.59 (range $4.78 – $36.78)
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.

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 Samira Mukkamala's NPI number?

The NPI number for Samira Mukkamala is 1861187346. It was assigned to this individual provider in the NPPES registry on April 10, 2023.

Where is Samira Mukkamala located?

Samira Mukkamala practices at 2119 Clearwater Dr, Oak Brook, IL 60523. The listed phone number is (630) 990-7766.

What is Samira Mukkamala's specialty?

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

Is Samira Mukkamala enrolled in Medicare?

Yes. Samira Mukkamala is registered in the Medicare PECOS enrollment system.

What insurance does Samira Mukkamala accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana list Samira Mukkamala 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 Samira Mukkamala was last updated on September 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.