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DR. DEEPA GOLLAMUDI DMD
NPI 1922864131
Dentist in Cincinnati, OH

Active since February 26, 2024PECOS Enrolled
3333 BURNET AVE, CINCINNATI, OH 45229(513) 636-4225 Get Directions Write a Review

NPPES record last updated: March 7, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Deepa Gollamudi Dmd NPPES

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

DR. DEEPA GOLLAMUDI DMD (NPI 1922864131) is an individual dentist in Cincinnati, Ohio, licensed in Ohio (30.027357) and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Cincinnati, and is a graduate of Roseman Univ Of Hlth Sciences, Col Of Dental Med (2021).

NPPES Registry Identity

NPI1922864131
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. DEEPA GOLLAMUDICredential: DMD
Location Address3333 BURNET AVECincinnati, OH 45229-3026
Mailing Address2030 Amys Ridge East CtBeavercreek, OH 45434-7103 · (937) 751-3899
Phone(513) 636-4225
Sole ProprietorNo
Medical School CMSRoseman Univ Of Hlth Sciences, Col Of Dental MedGraduated 2021
Enumeration DateFebruary 26, 2024
Last NPPES UpdateMarch 7, 2026
NPPES CertifiedMarch 7, 2026
✔ NPI 1922864131 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in OH · 30.027357
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.
3333 BURNET AVE, Cincinnati, OH 45229
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Secondary Practice Location 1

Location 12706 Observatory AveCincinnati, OH 45208-2108 · Phone (513) 533-4200

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Deepa Gollamudi Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5890263388
PECOS Enrollment IDI20260504004899
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.

Medicare Billing Reassignment

Medicare enrollment records show Deepa Gollamudi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Children's Hospital Medical Center
Same address
Pediatrics
3333 BURNET AVENUE
Cincinnati, OH 45229
  • Reassigned Medicare billing, Ohio enrollment
  • 2,080 clinicians in this Medicare group
NPI 1609915784 (513) 636-4225

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45229 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

PREEYACHA PACHARN M.D.
Radiology (Pediatric Radiology)
3333 BURNET AVE, ML 5031
CINCINNATI, OH 45229
Hamilton County (513) 636-4251
BRIAN KEITH TURPIN D.O.
Pediatrics (Pediatric Hematology-Oncology)
3333 BURNET AVE
CINCINNATI, OH 45229
Hamilton County (513) 636-3381
ETHAN J MUSGRAVE M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
3333 BURNET AVE, ML 3014
CINCINNATI, OH 45229
Hamilton County (513) 636-4788
KATHRYN WEAVER M.D.
Medical Genetics (Clinical Genetics (M.D.))
3333 BURNET AVE, ML 4006
CINCINNATI, OH 45229
Hamilton County (513) 636-4760
ROBIN T COTTON, MD, INC
Otolaryngology (Pediatric Otolaryngology)
3333 BURNET AVE, MLC 2018
CINCINNATI, OH 45229
Hamilton County (513) 636-7138
ELIZABETH ANN MOORE CNP
Nurse Practitioner (Acute Care)
3333 BURNET AVE, ML 2003
CINCINNATI, OH 45229
Hamilton County (513) 636-4432
CONSTANCE MARIE MARTIN CNP
Nurse Practitioner (Primary Care)
3333 BURNET AVE, ML 2018
CINCINNATI, OH 45229
Hamilton County (513) 636-4355
EMILY RENAE LY LSW
Case Manager/Care Coordinator
3333 BURNET AVE
CINCINNATI, OH 45229
Hamilton County (513) 803-6316

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 Deepa Gollamudi's NPI number?

The NPI number for Deepa Gollamudi is 1922864131. It was assigned to this individual provider in the NPPES registry on February 26, 2024.

Where is Deepa Gollamudi located?

Deepa Gollamudi practices at 3333 Burnet Ave, Cincinnati, OH 45229. The listed phone number is (513) 636-4225.

What is Deepa Gollamudi's specialty?

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

Is Deepa Gollamudi enrolled in Medicare?

Yes. Deepa Gollamudi is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Deepa Gollamudi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Deepa Gollamudi reassigns Medicare benefits to Children's Hospital Medical Center (Cincinnati, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Deepa Gollamudi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Deepa Gollamudi 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 17 other insurers list Deepa Gollamudi 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 Deepa Gollamudi was last updated on March 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.