DMITRY KARAGODSKY DDS
NPI 1992909261
Dentist in Philadelphia, PA

Q: What is Dmitry Karagodsky's NPI number?

The NPI number for Dmitry Karagodsky is 1992909261. It was assigned to this individual provider in the NPPES registry on June 12, 2007.

Q: What is Dmitry Karagodsky'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 Dmitry Karagodsky was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 12, 2007PECOS Enrolled

11880 BUSTLETON AVE, PHILADELPHIA, PA 19116(215) 969-2015(215) 969-2014 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dmitry Karagodsky Dds NPPES

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

DMITRY KARAGODSKY DDS (NPI 1992909261) is an individual dentist in Philadelphia, Pennsylvania, licensed in Pennsylvania (DS031011 L) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992909261

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDMITRY KARAGODSKYCredential: DDS

Location Address11880 BUSTLETON AVEPhiladelphia, PA 19116-2538

Mailing Address11880 Bustleton AvePhiladelphia, PA 19116-2538 · (215) 969-2015 · Fax (215) 969-2014

Phone(215) 969-2015

Fax(215) 969-2014

Sole ProprietorYes

Enumeration DateJune 12, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1992909261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in PA · DS031011 L

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.

11880 BUSTLETON AVE, Philadelphia, PA 19116

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, 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

✔

Enrolled in Medicare (PECOS)

Dmitry Karagodsky 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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of foreign body from tissue, accessed beneath the skin, simple 10120

This procedure involves the removal of an external object lodged within your tissue, accessed under the skin. It's deemed 'simple' if the object is easy to reach and doesn't require complex maneuvers or extensive tissue damage for extraction.

22 services12 patients

3d radiographic procedure 76376

A 3D radiographic procedure is a non-invasive imaging test that helps doctors visualize the internal structures of your body in three dimensions. This advanced technology provides detailed images, aiding in accurate diagnosis and treatment planning. It involves exposure to minimal radiation.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19116 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

$92.69 typical visit price

range $59.88 – $180.99

Typical copayment $23.17 (range $14.97 – $45.24)

Most-billed visit code 99203

Established Patient

$74.47 typical visit price

range $19.30 – $147.29

Typical copayment $18.61 (range $4.82 – $36.82)

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 7

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

NORTHWEST CARE LLC

Ambulance (Land Transport)

11880 BUSTLETON AVE, SUITE 204
PHILADELPHIA, PA 19116

Philadelphia County (215) 310-9666

BROTHERSCARE, LLC

Ambulance (Land Transport)

11880 BUSTLETON AVE, SUITE 205
PHILADELPHIA, PA 19116

Philadelphia County (267) 290-6562

PATRIOTCARE HOME SERVICES

In Home Supportive Care

11880 BUSTLETON AVE, SUITE 304
PHILADELPHIA, PA 19116

Philadelphia County (267) 945-5275

MEDALLIANCE AMBULANCE, LLC

Ambulance

11880 BUSTLETON AVE, SUITE 206
PHILADELPHIA, PA 19116

Philadelphia County (215) 792-6329

HEALTH SOURCE REHABILITATION INC

Physical Medicine & Rehabilitation

11880 BUSTLETON AVE, 2ND FLOOR, OFFICE B
PHILADELPHIA, PA 19116

Philadelphia County (267) 239-1790

FINESTCARE, INC.

Ambulance

11880 BUSTLETON AVE, SUITE: 301
PHILADELPHIA, PA 19116

Philadelphia County (267) 538-5285

MISS OLGA SELCOVA M.D., LAC

Acupuncturist

11880 BUSTLETON AVE
PHILADELPHIA, PA 19116

Philadelphia County (215) 501-2142

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 Dmitry Karagodsky's NPI number?

The NPI number for Dmitry Karagodsky is 1992909261. It was assigned to this individual provider in the NPPES registry on June 12, 2007.

Where is Dmitry Karagodsky located?

Dmitry Karagodsky practices at 11880 Bustleton Ave, Philadelphia, PA 19116. The listed phone number is (215) 969-2015.

What is Dmitry Karagodsky's specialty?

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

Is Dmitry Karagodsky enrolled in Medicare?

Yes. Dmitry Karagodsky is registered in the Medicare PECOS enrollment system.

What insurance does Dmitry Karagodsky accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 2 other insurers list Dmitry Karagodsky 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 Dmitry Karagodsky was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.