Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1366977175 Individual Practitioner Male Practitioner

Dr. Kishan Mark Thadikonda , MD

Plastic Surgery • Pittsburgh, PA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Kishan Thadikonda, MD is a certified Plastic Surgery practicing in Pittsburgh, PA. With approximately 9 years of clinical experience since graduating from University Of Pittsburgh School Of Medicine in 2017, Dr. Thadikonda delivers high-quality medical care to the local community at 320 E NORTH AVE STE 401.

Dr. Thadikonda is affiliated with Allegheny Clinic and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

320 E North Ave Ste 401

Pittsburgh, PA 152124756

Telephone 4123594352
Associated Practice Facility / Clinic
🏢 Allegheny Clinic Facility NPI 1750690590

Medicare Profile & Education

Medical School

University Of Pittsburgh School Of Medicine

Graduation Year

2017

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Plastic Surgery in Pittsburgh, PA

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
9 Yrs -10.4 yrs vs City Avg
City Avg: 19.4 Yrs
State Avg: 28.1 Yrs
Regional Practice Density
39 Specialists

Practicing in Pittsburgh, PA (239 Statewide)

Telehealth Adoption Rate
15.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Thadikonda (9 Years) 9 Yrs
Pittsburgh Specialty Average (19.4 Years) 19.4 Yrs

Medical Specialties & State Licenses

CMS Verified: 2024-08-01
Plastic Surgery Primary Specialty

NUCC Taxonomy Code: 208200000X

State License PA MD480485

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Caqh
16127341

Hospital & Practice Group Affiliations

Allegheny Clinic

320 E N Ave, Pittsburgh, PA 152124756

Phone: 4123594352

Practice Associates & Co-Workers

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

19 Associated Practitioners
Marissa Jonov , PA-C

Physician Assistant

NPI 1053995399

Physician Assistant (Certified)

Jessica Manzo , PA-C

Physician Assistant - Surgical

NPI 1063791705

Physician Assistant (Certified)

Kyla Dwyer , PA-C

Physician Assistant - Surgical

NPI 1073351979

Physician Assistant (Certified)

Dr. Oluseyi Aliu , MD

Plastic Surgery

NPI 1114138625

Doctor of Medicine (M.D.)

Sarah Hall , PA-C

Physician Assistant - Surgical

NPI 1134379167

Physician Assistant (Certified)

Dr. Michael White , MD

Plastic Surgery

NPI 1184606105

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location August 01, 2024

Registered at 320 E NORTH AVE STE 401, PITTSBURGH, PA 152124756 (Tel: 4123594352)

📍
Updated Business Mailing Address August 01, 2024

Registered at 320 E NORTH AVE STE 401, PITTSBURGH, PA 152124756 (Tel: 4123594352)

👤
Provider Name / Credentials Updated August 01, 2024

Recorded as KISHAN THADIKONDA, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 01, 2024

Plastic Surgery (License #MD480485 in PA)

NPI Profile Active April 30, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location April 30, 2017

Registered at UW HOSPITALS AND CLINICS, 600 HIGHLAND AVE, MADISON, WI 537920001 (Tel: 6082636400)

📍
Updated Business Mailing Address April 30, 2017

Registered at UW HOSPITALS AND CLINICS, 600 HIGHLAND AVE, MADISON, WI 537920001 (Tel: 6082636400)

👤
Provider Name / Credentials Updated April 30, 2017

Recorded as KISHAN THADIKONDA, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 30, 2017

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 30, 2017

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: 1366977175
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 30, 2017
Last Update: August 01, 2024
Sole Proprietor: No

Mailing Address

320 E North Ave Ste 401

Pittsburgh, PA 152124756

Phone: 4123594352

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.