SUDHAKAR Y SHETTY D.D.S
NPI 1861663569
Dentist - General Practice in Woodhaven, NY

Q: What is Sudhakar Shetty's NPI number?

The NPI number for Sudhakar Shetty is 1861663569. It was assigned to this individual provider in the NPPES registry on March 20, 2008.

Q: What is Sudhakar Shetty's specialty?

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

Q: Is Sudhakar Shetty enrolled in Medicare?

No. Sudhakar Shetty has opted out of Medicare through December 8, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Sudhakar Shetty was last updated on March 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since March 20, 2008Opted out of Medicare · through Dec 8, 2027

8713 JAMAICA AVE, WOODHAVEN, NY 11421(718) 847-8023(718) 847-2009 Get Directions Write a Review

NPPES record last updated: March 20, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Sudhakar Y Shetty D.d.s NPPES

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

SUDHAKAR Y SHETTY D.D.S (NPI 1861663569) is an individual general practice provider in Woodhaven, New York, licensed in New York (034912) and active in the NPI registry since March 2008. He has opted out of Medicare through December 8, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1861663569

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameSUDHAKAR Y SHETTYCredential: D.D.S

Location Address8713 JAMAICA AVEWoodhaven, NY 11421-2037

Mailing Address8713 Jamaica AveWoodhaven, NY 11421-2037 · (718) 847-8023 · Fax (718) 847-2009

Phone(718) 847-8023

Fax(718) 847-2009

Sole ProprietorYes

Enumeration DateMarch 20, 2008

✔ NPI 1861663569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in NY · 034912

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.

8713 JAMAICA AVE, Woodhaven, NY 11421

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Other Identifiers 1

Medicaid00461041NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Sudhakar Y Shetty D.d.s has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 8, 2015 through December 8, 2027.

Opt-Out Effective DateDecember 8, 2015

Opt-Out In Effect ThroughDecember 8, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11421 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

$104.17 typical visit price

range $67.00 – $201.98

Typical copayment $26.04 (range $16.75 – $50.49)

Most-billed visit code 99203

Established Patient

$82.96 typical visit price

range $21.62 – $163.52

Typical copayment $20.74 (range $5.40 – $40.88)

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.

WOODHAVEN DENTAL CARE, P.C.

Dentist (General Practice)

8713 JAMAICA AVE
WOODHAVEN, NY 11421

Queens County (718) 847-8023

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 Sudhakar Shetty's NPI number?

The NPI number for Sudhakar Shetty is 1861663569. It was assigned to this individual provider in the NPPES registry on March 20, 2008.

Where is Sudhakar Shetty located?

Sudhakar Shetty practices at 8713 Jamaica Ave, Woodhaven, NY 11421. The listed phone number is (718) 847-8023.

What is Sudhakar Shetty's specialty?

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

Is Sudhakar Shetty enrolled in Medicare?

No. Sudhakar Shetty has opted out of Medicare through December 8, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Sudhakar Shetty accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Sudhakar Shetty 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 Sudhakar Shetty was last updated on March 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.