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DR. SRAVANTHI GANNE DDS
NPI 1972764967
Dentist - Oral and Maxillofacial Surgery in Port Orange, FL

Active since June 23, 2008Opted out of Medicare · through Jan 1, 2028
1728 DUNLAWTON AVE STE 3, APARTMENT 2G, PORT ORANGE, FL 32127(412) 913-8877(844) 704-4268 Get Directions Write a Review

NPPES record last updated: November 22, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 22, 2021, Jun 3, 2019 (2 updates tracked since 2019).

About Dr. Sravanthi Ganne Dds NPPES

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

DR. SRAVANTHI GANNE DDS (NPI 1972764967) is an individual oral and maxillofacial surgery provider in Port Orange, Florida, licensed in Florida (DN19304) and active in the NPI registry since June 2008. She has opted out of Medicare through January 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1972764967
Entity TypeIndividualFemale
Primary Taxonomy1223S0112X
Provider Legal NameDR. SRAVANTHI GANNECredential: DDS
Location Address1728 DUNLAWTON AVE STE 3, APARTMENT 2GPort Orange, FL 32127-2923
Mailing Address1728 Dunlawton Ave Ste 3Port Orange, FL 32127-2923 · (412) 913-8877 · Fax (844) 704-4268
Phone(412) 913-8877
Fax(844) 704-4268
Sole ProprietorYes
Enumeration DateJune 23, 2008
Last NPPES UpdateNovember 22, 20212 updates tracked since enumeration
NPPES CertifiedNovember 22, 2021
✔ NPI 1972764967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in FL · DN19304
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
1728 DUNLAWTON AVE STE 3, Port Orange, FL 32127
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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. Sravanthi Ganne Dds 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 January 1, 2026 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2026
Opt-Out In Effect ThroughJanuary 1, 2028Opt-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 32127 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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

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

DR. FERHAN AZIZ D.D.S.
Dentist (Oral and Maxillofacial Surgery)
1728 DUNLAWTON AVE STE 3
PORT ORANGE, FL 32127
Volusia County (386) 675-0088

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 Sravanthi Ganne's NPI number?

The NPI number for Sravanthi Ganne is 1972764967. It was assigned to this individual provider in the NPPES registry on June 23, 2008.

Where is Sravanthi Ganne located?

Sravanthi Ganne practices at 1728 Dunlawton Ave Ste 3 Apartment 2G, Port Orange, FL 32127. The listed phone number is (412) 913-8877.

What is Sravanthi Ganne's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Sravanthi Ganne enrolled in Medicare?

No. Sravanthi Ganne has opted out of Medicare through January 1, 2028. 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 Sravanthi Ganne accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Delta Dental and 7 other insurers list Sravanthi Ganne 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 Sravanthi Ganne was last updated on November 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.