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

Q: 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.

Q: What is Deepa Gollamudi's specialty?

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

Q: 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 5 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.

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: August 16, 2026.

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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 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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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. 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.

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.

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 5 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.