DR. DEEPAK GOPALA KRISHNAN (DDS) – Oral & Maxillofacial Surgery (D.M.D.), NPI 1093974867
Oral & Maxillofacial Surgery (D.M.D.)
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
48 MAXILLOFACIAL SURGERY in OH
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Provider Addresses for DR. DEEPAK GOPALA KRISHNAN (DDS)
Boom Box Buns, 1324, Main Street, Main Street Business District, Over-the-Rhine, Cincinnati, Hamilton County, Ohio, 45202, United States
CINCINNATI, OH 452630579
Phone: (513) 585-5501
Fax: (513) 585-5511
Type: Mailing
222, Piedmont Avenue, Pill Hill, Corryville, Cincinnati, Hamilton County, Ohio, 45219, United States
STE. 7300
CINCINNATI, OH 452194231
Phone: (513) 475-8783
Fax: (513) 475-7698
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $634.
Total Amount is formed as General ($634) + Research ($0) + Ownership ($0) = $634.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: KLS-Martin L.P. ($288).
Total Amount
$634
General + Research + Ownership
Payments
9
Total payment records
General Amount
$634
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| KLS-Martin L.P. | $288 |
| Straumann USA LLC | $155 |
| Zimmer Biomet Holdings, Inc. | $115 |
| Stryker Corporation | $58 |
| ZIMVIE INC. | $19 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2008-08-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20080821000404 | I | Maxillofacial Surgery | OH | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 45263)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Oral Surgery, Maxillofacial Surgery | OH | |
| Maxillofacial Surgery, Oral Surgery | OH | |
| Nurse Practitioner | OH | |
| - | MS | |
| Maxillofacial Surgery, Oral Surgery | ME | |
| Oral Surgery, Maxillofacial Surgery, Maxillofacial Surgery | OH | |
| Oral Surgery, Oral And Maxillofacial Pathology | NC | |
| D E N T I S T | AL | |
| - | OH | |
| Oral Surgery | OH |
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