Dr Deepak Gopala Krishnan, DDS is a medicare enrolled "Oral & Maxillofacial Surgery" provider in Cincinnati, Ohio. He graduated from medical school in 1996 and has 29 years of diverse experience with area of expertise as Maxillofacial Surgery. He is a member of the group practice University Surgical-dental Associates Llc and his current practice location is
222 Piedmont Ave, Ste. 7300, Cincinnati, Ohio. You can reach out to his office (for appointments etc.) via phone at
(513) 475-8783.
Dr Deepak Gopala Krishnan is licensed to practice in Ohio (license number 30-024214) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1093974867.
Healthcare Provider's Profile
| Full Name | Dr Deepak Gopala Krishnan |
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| Gender | Male |
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| Speciality | Maxillofacial Surgery |
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| Experience | 29 Years |
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| Location | 222 Piedmont Ave, Cincinnati, Ohio |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Deepak Gopala Krishnan graduated from medical school in 1996
NPI Data:
- NPI Number: 1093974867
- Provider Enumeration Date: 06/05/2008
- Last Update Date: 01/23/2025
Medicare PECOS Information:
- PECOS PAC ID: 0941375265
- Enrollment ID: I20080821000404
Medical Identifiers
Medical identifiers for Dr Deepak Gopala Krishnan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1093974867 | NPI | - | NPPES |
| 2900874 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 71.000216 (Ohio) | Secondary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 71000216 (Ohio) | Secondary |
| 204E00000X | Oral & Maxillofacial Surgery | 30-024214 (Ohio) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| University Surgical-dental Associates Llc | 1658384482 | 8 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Deepak Gopala Krishnan allows following entities to bill medicare on his behalf.
| Entity Name | University Of Cincinnati Physicians Company Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1801840434 PECOS PAC ID: 2264344480 Enrollment ID: O20031105000123 |
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| Entity Name | Children's Hospital Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1609915784 PECOS PAC ID: 8426955733 Enrollment ID: O20031216000035 |
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| Entity Name | University Surgical-dental Associates Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1649241787 PECOS PAC ID: 1658384482 Enrollment ID: O20060724000047 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Deepak Gopala Krishnan is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Dr Deepak Gopala Krishnan, DDS Po Box 630579, Cincinnati, OH 45263-0579 Ph: (513) 585-5501 | Dr Deepak Gopala Krishnan, DDS 222 Piedmont Ave, Ste. 7300, Cincinnati, OH 45219-4231 Ph: (513) 475-8783 |
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