Raghavendra Sumanth Phani Challa, DDS
NPI 1508320532ActiveIndividual· Dentist, General Practice· Holyoke, MA
Dentist, General Practice (DDS) in Holyoke, Massachusetts, licensed in MA and CO, with an NPI issued in January 2019. Part D covered 113 prescriptions written in 2024, 98% of them generic.
Overview
| NPI | 1508320532 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DDS |
| Sole proprietor | No |
| NPI issued | Jan 23, 2019 |
| Last updated in NPPES | Mar 25, 2024 |
| Certified by provider | Mar 25, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | DN1858555 | MA |
| Dentist, General Practice | 1223G0001X | DEN.00203866 | CO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Order and Referring Only - Dentist (MA) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 113 · 113 30-day fills |
|---|---|
| Patients | 70 |
| Total drug cost | $884.67 |
| Generic share | 98% of claims |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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