SURABHI PANCHOLI DDS
NPI 1992208276
Dentist in Saint Paul, MN

Active since March 13, 2018PECOS Enrolled
2500 COMO AVE, SAINT PAUL, MN 55108(651) 647-2525 Get Directions Write a Review

NPPES record last updated: April 14, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 14, 2021, Jun 24, 2020, May 30, 2019 and 1 more (4 updates tracked since 2018).

About Surabhi Pancholi Dds NPPES

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

SURABHI PANCHOLI DDS (NPI 1992208276) is an individual dentist in Saint Paul, Minnesota, licensed in Minnesota (D14504) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1992208276
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameSURABHI PANCHOLICredential: DDS
Location Address2500 COMO AVESaint Paul, MN 55108-1460
Mailing Address401 1st Ave Ne Unit 961Minneapolis, MN 55413-3171 · (614) 634-3521
Sole ProprietorNo
Enumeration DateMarch 13, 2018
Last NPPES UpdateApril 14, 20214 updates tracked since enumeration
NPPES CertifiedApril 14, 2021
NPI 1992208276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses Licensed in MN · D14504 Licensed in KY · 10397 Licensed in IN · 12013100A
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.
2500 COMO AVE, Saint Paul, MN 55108

Secondary Practice Locations 3

Location 1234 Goodman StCincinnati, OH 45219-2364 · Phone (513) 584-6660 · Fax (513) 584-6661
Location 21436 Locust StTerre Haute, IN 47807-1648 · Phone (614) 634-3521
Location 32900 Ring Rd # 7934Elizabethtown, KY 42701-7934 · Phone (614) 634-3521

Accepted 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)

Surabhi Pancholi Dds 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 55108 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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.

Durable Medical Equipment & Medical Supplies
2500 COMO AVE
SAINT PAUL, MN 55108
Nurse Practitioner (Gerontology)
2500 COMO AVE
SAINT PAUL, MN 55108
Acupuncturist
2500 COMO AVE
SAINT PAUL, MN 55108
Registered Nurse
2500 COMO AVE
SAINT PAUL, MN 55108
Dentist (General Practice)
2500 COMO AVE
ST PAUL, MN 55108
Family Medicine
2500 COMO AVE
SAINT PAUL, MN 55108
Dentist
2500 COMO AVE
SAINT PAUL, MN 55108
Internal Medicine
2500 COMO AVE
SAINT PAUL, MN 55108

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 Surabhi Pancholi's NPI number?

The NPI number for Surabhi Pancholi is 1992208276. It was assigned to this individual provider in the NPPES registry on March 13, 2018.

Where is Surabhi Pancholi located?

Surabhi Pancholi practices at 2500 Como Ave, Saint Paul, MN 55108. The listed phone number is (651) 647-2525.

What is Surabhi Pancholi's specialty?

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

Is Surabhi Pancholi enrolled in Medicare?

Yes. Surabhi Pancholi is registered in the Medicare PECOS enrollment system.

What insurance does Surabhi Pancholi accept?

Health plans from HRI Dental & Vision, Humana and Paramount list Surabhi Pancholi 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 Surabhi Pancholi was last updated on April 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.