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DR. SANJU P. JOSE D.D.S., M.D.S.
NPI 1932516804
Dentist - Periodontics in Columbia, MD

Active since July 12, 2014Opted out of Medicare · through Jul 26, 2027
6395 DOBBIN RD STE 208, COLUMBIA, MD 21045(410) 997-1189(410) 992-5474 Get Directions Write a Review

NPPES record last updated: April 28, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Sanju P. Jose D.d.s., M.d.s. NPPES

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

DR. SANJU P. JOSE D.D.S., M.D.S. (NPI 1932516804) is an individual periodontics provider in Columbia, Maryland, licensed in Maryland (16308) and active in the NPI registry since July 2014. He has opted out of Medicare through July 26, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1932516804
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. SANJU P. JOSECredential: D.D.S., M.D.S.
Location Address6395 DOBBIN RD STE 208Columbia, MD 21045-4759
Mailing Address300 Pine Valley DrImperial, PA 15126-9332 · (410) 913-4760
Phone(410) 997-1189
Fax(410) 992-5474
Sole ProprietorNo
Enumeration DateJuly 12, 2014
Last NPPES UpdateApril 28, 2020
NPPES CertifiedApril 28, 2020
✔ NPI 1932516804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in MD · 16308
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
6395 DOBBIN RD STE 208, Columbia, MD 21045
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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

Dr. Sanju P. Jose D.d.s., M.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 July 26, 2017 through July 26, 2027.

Opt-Out Effective DateJuly 26, 2017
Opt-Out In Effect ThroughJuly 26, 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 21045 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$75.47 typical visit price
range $19.60 – $149.17
Typical copayment $18.86 (range $4.90 – $37.29)
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 2

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

DR. KEYLA IVETTE TORRES DMD, MS
Dentist (Periodontics)
6395 DOBBIN RD STE 208
COLUMBIA, MD 21045
Howard County (410) 997-1189
COLUMBIA CENTER FOR IMPLANTS & PERIODONTICS
Dentist (Periodontics)
6395 DOBBIN RD STE 208
COLUMBIA, MD 21045
Howard County (410) 997-1189

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 Sanju Jose's NPI number?

The NPI number for Sanju Jose is 1932516804. It was assigned to this individual provider in the NPPES registry on July 12, 2014.

Where is Sanju Jose located?

Sanju Jose practices at 6395 Dobbin Rd Ste 208, Columbia, MD 21045. The listed phone number is (410) 997-1189.

What is Sanju Jose's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Sanju Jose enrolled in Medicare?

No. Sanju Jose has opted out of Medicare through July 26, 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 Sanju Jose 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 Sanju Jose 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 Sanju Jose was last updated on April 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.