DR. PRADEEP ADATROW DDS
NPI 1992803571
Dentist in Southaven, MS

Active since September 20, 2006Opted out of Medicare · through Apr 13, 2028
7135 GETWELL RD STE 100, SOUTHAVEN, MS 38672(662) 655-4868 Get Directions Write a Review

NPPES record last updated: June 29, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 29, 2020, Jun 27, 2020, Sep 7, 2019 and 2 more (5 updates tracked since 2019).

About Dr. Pradeep Adatrow Dds NPPES

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

DR. PRADEEP ADATROW DDS (NPI 1992803571) is an individual dentist in Southaven, Mississippi, licensed in Mississippi (3727-13) and active in the NPI registry since September 2006. He has opted out of Medicare through April 13, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1992803571
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. PRADEEP ADATROWCredential: DDS
Location Address7135 GETWELL RD STE 100Southaven, MS 38672-9659
Mailing Address7135 Getwell Rd Ste 100Southaven, MS 38672-9659 · (662) 655-4868
Sole ProprietorYes
Enumeration DateSeptember 20, 2006
Last NPPES UpdateJune 29, 20205 updates tracked since enumeration
NPPES CertifiedJune 29, 2020
NPI 1992803571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in MS · 3727-13
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.
Also ListedDentist · PeriodonticsTaxonomy 1223P0300X · License PER-505-16 (MS), 8586 (TN)
Also ListedDentist · ProsthodonticsTaxonomy 1223P0700X · License 8586 (TN), PROS-504-16 (MS)
7135 GETWELL RD STE 100, Southaven, MS 38672

Other Identifiers 1

Other3727-13MS · Dental License

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

Dr. Pradeep Adatrow 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 April 13, 2016 through April 13, 2028.

Opt-Out Effective DateApril 13, 2016
Opt-Out In Effect ThroughApril 13, 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 38672 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$64.96 typical visit price
range $16.15 – $129.61
Typical copayment $16.24 (range $4.03 – $32.40)
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.

Dentist (Periodontics)
7135 GETWELL RD STE 100
SOUTHAVEN, MS 38672

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 Pradeep Adatrow's NPI number?

The NPI number for Pradeep Adatrow is 1992803571. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Pradeep Adatrow located?

Pradeep Adatrow practices at 7135 Getwell Rd Ste 100, Southaven, MS 38672. The listed phone number is (662) 655-4868.

What is Pradeep Adatrow's specialty?

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

Is Pradeep Adatrow enrolled in Medicare?

No. Pradeep Adatrow has opted out of Medicare through April 13, 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 Pradeep Adatrow 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, Delta Dental PPO and Humana and 1 other insurer list Pradeep Adatrow 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 Pradeep Adatrow was last updated on June 29, 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.