ANDREW ATISHA DMD
NPI 1932581998
Dentist in Detroit, MI

Q: What is Andrew Atisha's NPI number?

The NPI number for Andrew Atisha is 1932581998. It was assigned to this individual provider in the NPPES registry on June 25, 2015.

Q: What is Andrew Atisha'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 Andrew Atisha was last updated on April 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 June 25, 2015PECOS Enrolled

2700 MARTIN LUTHER KING JR BLVD, DETROIT, MI 48208(313) 494-6700 Get Directions Write a Review

NPPES record last updated: April 26, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Andrew Atisha Dmd NPPES

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

ANDREW ATISHA DMD (NPI 1932581998) is an individual dentist in Detroit, Michigan, licensed in Michigan (5315071893) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1932581998

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameANDREW ATISHACredential: DMD

Location Address2700 MARTIN LUTHER KING JR BLVDDetroit, MI 48208-2576

Mailing Address2700 Martin Luther King Jr BlvdDetroit, MI 48208-2576 · (313) 494-6700

Phone(313) 494-6700

Sole ProprietorYes

Enumeration DateJune 25, 2015

Last NPPES UpdateApril 26, 2016

✔ NPI 1932581998 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in MI · 5315071893

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.

2700 MARTIN LUTHER KING JR BLVD, Detroit, MI 48208

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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)

Andrew Atisha 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 48208 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

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

Established Patient

$72.38 typical visit price

range $18.32 – $143.49

Typical copayment $18.09 (range $4.58 – $35.87)

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.

DR. SWATI DINESH CHITRE DDS,MSD

Dentist