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Shyam Prasad Aravindaksha, BDS, MDS

NPI 1902065014ActiveIndividual· Oral & Maxillofacial Surgery· Warren, MI

Opted out of Medicare from May 2025 to May 2027. Oral & Maxillofacial Surgery (BDS, MDS) in Warren, Michigan, licensed in MI, with an NPI issued in June 2008. 23 Medicare patients in 2024, $3,719 paid; all of their 1,555 Part D prescriptions were generic.

Overview

NPI1902065014
StatusActive
Entity typeIndividual
CredentialBDS, MDS
Sole proprietorNo
NPI issuedJun 3, 2008
Last updated in NPPESJul 21, 2022

Specialties and licenses

TaxonomyCodeLicenseState
Oral & Maxillofacial Surgery Primary204E00000X2901020544MI

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026
Opt-outOpted out May 1, 2025 – May 1, 2027
Can order and referNo
Accepts assignmentYes (participating)

During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.

Medicare services in 2024

Medicare patients23
Services billed36 across 11 procedure codes
Paid by Medicare$3,719

Part D prescriptions in 2024

Prescriptions (claims)1,555 · 1,555 30-day fills
Patients656
Total drug cost$4,940
Generic share100% of claims

Medicare sources and data years

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