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 |
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| Gender | Female |
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| Speciality | Maxillofacial Surgery |
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| Experience | 4 Years |
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| Location | 222 Piedmont Ave, Cincinnati, Ohio |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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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 |
| 7101055250 | Medicaid | KY | |
| 300130293 | Medicaid | IN | |
| 0139624 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | DEN4589 (Maine) | Secondary |
| 204E00000X | Oral & Maxillofacial Surgery | 30.027873 (Ohio) | Primary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 30.027873 (Ohio) | Secondary |
| 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 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 |
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