SIRISHA BHANDARU DMD
NPI 1942581384
Dentist - General Practice in Carrollton, TX

Active since August 30, 2011Opted out of Medicare · through Mar 10, 2028
4116 STATE HIGHWAY 121, SUITE 110, CARROLLTON, TX 75010(972) 245-3455(972) 242-1686 Get Directions Write a Review

NPPES record last updated: June 15, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Sirisha Bhandaru Dmd NPPES

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

SIRISHA BHANDARU DMD (NPI 1942581384) is an individual general practice provider in Carrollton, Texas, licensed in Texas (25588) and active in the NPI registry since August 2011. She has opted out of Medicare through March 10, 2028.

NPPES Registry Identity

NPI1942581384
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameSIRISHA BHANDARUCredential: DMD
Location Address4116 STATE HIGHWAY 121, SUITE 110Carrollton, TX 75010-1233
Mailing Address4116 State Highway 121, Suite 110Carrollton, TX 75010-1233 · (972) 245-3455 · Fax (972) 242-1686
Fax(972) 242-1686
Sole ProprietorYes
Enumeration DateAugust 30, 2011
Last NPPES UpdateJune 15, 2023
NPPES CertifiedJune 15, 2023
NPI 1942581384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in TX · 25588
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.

Also ListedDentistTaxonomy 122300000X · License 25588 (TX)
4116 STATE HIGHWAY 121, Carrollton, TX 75010

Accepted 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

Sirisha Bhandaru Dmd 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 March 10, 2020 through March 10, 2028.

Opt-Out Effective DateMarch 10, 2020
Opt-Out In Effect ThroughMarch 10, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Sirisha Bhandaru's NPI number?

The NPI number for Sirisha Bhandaru is 1942581384. It was assigned to this individual provider in the NPPES registry on August 30, 2011.

Where is Sirisha Bhandaru located?

Sirisha Bhandaru practices at 4116 State Highway 121 Suite 110, Carrollton, TX 75010. The listed phone number is (972) 245-3455.

What is Sirisha Bhandaru's specialty?

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

Is Sirisha Bhandaru enrolled in Medicare?

No. Sirisha Bhandaru has opted out of Medicare through March 10, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Sirisha Bhandaru accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana list Sirisha Bhandaru 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 Sirisha Bhandaru was last updated on June 15, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.