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Active NPI 1093974867 Individual Practitioner Male Practitioner

Dr. Deepak Gopala Krishnan , DDS

Oral & Maxillofacial Surgery • Cincinnati, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Deepak Krishnan, DDS is a certified Oral & Maxillofacial Surgery practicing in Cincinnati, OH. With approximately 30 years of clinical experience since completing medical education in 1996, Dr. Krishnan delivers high-quality medical care to the local community at 222 PIEDMONT AVE.

Dr. Krishnan is affiliated with University Surgical-Dental Associates Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

222 Piedmont Ave
Ste. 7300

Cincinnati, OH 452194231

Telephone 5134758783
Fax 5134757698
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

1996

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Oral & Maxillofacial Surgery in Cincinnati, OH

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
30 Yrs +12.7 yrs vs City Avg
City Avg: 17.3 Yrs
State Avg: 25.6 Yrs
Regional Practice Density
13 Specialists

Practicing in Cincinnati, OH (46 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
66.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Krishnan (30 Years) 30 Yrs
Cincinnati Specialty Average (17.3 Years) 17.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
14 14 $400.00 $134.86

Medical Specialties & State Licenses

CMS Verified: 2026-05-12
Oral & Maxillofacial Surgery Primary Specialty

NUCC Taxonomy Code: 204E00000X

State License OH 30.024214

Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.

Dentist - Oral and Maxillofacial Surgery

NUCC Taxonomy Code: 1223S0112X

State License OH 30.024214

The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
2900874 (OH)
Medicaid State Provider ID
7100056050 (KY)
Medicaid State Provider ID
3000055692 (IN)

Hospital & Practice Group Affiliations

University Surgical-Dental Associates Llc

222 Piedmont Ave, Cincinnati, OH 452194224

Phone: 5134758783

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

13 Associated Practitioners
Petra Olivieri

Oral & Maxillofacial Surgery

NPI 1013460658
NPI 1053389965

Doctor of Dental Medicine

Lilly Grote

Nurse Practitioner - Family

NPI 1164399572
NPI 1205898749

Doctor of Dental Medicine

Wallace Mclaurin

Oral & Maxillofacial Surgery

NPI 1467846824
Dr. Supritha Nilam , DDS

Oral & Maxillofacial Surgery

NPI 1629597562

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

15 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 12, 2026

Dentist (License #30.024214 in OH)

👤
Provider Name / Credentials Updated January 23, 2025

Recorded as DEEPAK KRISHNAN, DDS

📍
Updated Business Mailing Address February 26, 2018

Registered at PO BOX 630579, CINCINNATI, OH 452630579 (Tel: 5135855501)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 26, 2018

Dentist (License #71.000216 in OH)

NPI Profile Active March 28, 2017

NPI status registered as active in NPPES database

📍
Updated Business Mailing Address March 28, 2017

Registered at 2830 VICTORY PKWY, CINCINNATI, OH 452061785 (Tel: 5135855501)

📍
Updated Practice Location March 28, 2017

Registered at 222 PIEDMONT AVE, STE. 7300, CINCINNATI, OH 452194231 (Tel: 5134758783)

👤
Provider Name / Credentials Updated March 28, 2017

Recorded as DEEPAK GOPALA KRISHNAN, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 28, 2017

Dentist (License #71000216 in OH)

NPI Profile Active May 29, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location May 29, 2014

Registered at 222 PIEDMONT AVE, STE. 7300, CINCINNATI, OH 452194231 (Tel: 5134758783)

📍
Updated Business Mailing Address May 29, 2014

Registered at 3200 BURNET AVE, 3 SOUTH, CREDENTIALING, CINCINNATI, OH 452293019 (Tel: 5135855502)

👤
Provider Name / Credentials Updated May 29, 2014

Recorded as DEEPAK GOPALAKRISHNAN, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 29, 2014

Dentist (License #71.000216 in OH)

🟢
Initial NPI Registration & Enumeration June 05, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1093974867
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 05, 2008
Last Update: May 12, 2026
Sole Proprietor: No

Mailing Address

Po Box 630579

Cincinnati, OH 452630579

Phone: 5135855501

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.