Supritha Nilam, DDS is a medicare enrolled "Oral & Maxillofacial Surgery" provider in Cincinnati, Ohio. She went to University Of California, Geffen School Of Medicine and graduated in 2022 and has 4 years of diverse experience with area of expertise as Maxillofacial Surgery. She is a member of the group practice University Surgical-dental Associates Llc and her current practice location is
222 Piedmont Ave, Cincinnati, Ohio. You can reach out to her office (for appointments etc.) via phone at
(513) 475-8783.
Supritha Nilam is licensed to practice in Ohio (license number 30.027873) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1629597562.
Healthcare Provider's Profile
| Full Name | Supritha Nilam |
|---|
| Gender | Female |
|---|
| Speciality | Maxillofacial Surgery |
|---|
| Experience | 4 Years |
|---|
| Location | 222 Piedmont Ave, Cincinnati, Ohio |
|---|
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Supritha Nilam attended and graduated from University Of California, Geffen School Of Medicine in 2022
NPI Data:
- NPI Number: 1629597562
- Provider Enumeration Date: 09/12/2017
- Last Update Date: 05/12/2026
Medicare PECOS Information:
- PECOS PAC ID: 6608379169
- Enrollment ID: I20250911000407
Medical Identifiers
Medical identifiers for Supritha Nilam such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629597562 | NPI | - | NPPES |
| 0139624 | Medicaid | OH | |
| 7101055250 | Medicaid | KY | |
| 300130293 | Medicaid | IN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | DEN4589 (Maine) | Secondary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 30.027873 (Ohio) | Secondary |
| 204E00000X | Oral & Maxillofacial Surgery | 30.027873 (Ohio) | Primary |
| 204E00000X | Oral & Maxillofacial Surgery | 106194 (California) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| University Surgical-dental Associates Llc | 1658384482 | 10 |
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. Supritha Nilam allows following entities to bill medicare on her behalf.
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. Supritha Nilam 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 |
|---|
Supritha Nilam, DDS
Po Box 636256,
Cincinnati, OH 45263-6256
Ph: (513) 585-6200 | Supritha Nilam, DDS
222 Piedmont Ave,
Cincinnati, OH 45219-4231
Ph: (513) 475-8783 |
Reviews and Comments