Individual provider Active NPI

Deepak Gopala Krishnan, DDS

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Cincinnati, OH
National Provider Identifier
1093974867
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
License
30.024214 Issued in OH
Practice address
222 Piedmont Ave
Ste. 7300
Cincinnati, OH 45219-4231
Phone
(513) 475-8783
Fax
(513) 475-7698
NPI assigned
Jun 5, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 30.024214 OH
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X 30.024214 OH Primary

Addresses

Primary practice location

222 Piedmont Ave
Ste. 7300
Cincinnati, OH 45219-4231

Mailing address

PO Box 630579
Cincinnati, OH 45263-0579
Phone (513) 585-5501

Other identifiers 3

IdentifierTypeStateIssuer
2900874MedicaidOH
7100056050MedicaidKY
3000055692MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080821000404 OH Practitioner - Maxillofacial SurgeryPractitioner - Oral Surgery 0941375265 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Maxillofacial SurgeryAlso: Oral Surgery
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Surgical-Dental Associates LLCGroup PAC ID 1658384482, 10 clinicians

Practice addresses (Care Compare)

222 Piedmont Ave
Suite 7300
Cincinnati, OH 45219-4224
Phone (513) 475-8783

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30.024214OHMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
University Surgical-Dental Associates, LLC Oral and Maxillofacial Surgery CurrentSince Jul 1, 2008 Accepting new patients
University of Cincinnati Physicians Company, LLC CurrentSince Nov 1, 2011 Accepting new patients
Children'S Hospital Medical Center CurrentSince Jul 19, 2023 Accepting new patients
University of Cincinnati Medical Center, LLC Past Accepting new patients

Locations

3341 Solutions Ctr
Chicago, IL 60677

231 Albert Sabin Way
Cincinnati, OH 45267
Phone (513) 558-6356

3200 Burnet Ave
#2
Cincinnati, OH 45229
Phone (513) 585-5505

3333 Burnet Ave
Cincinnati, OH 45229
Phone (513) 636-4200

222 Piedmont Ave
Ste 7300
Cincinnati, OH 45219
Phone (513) 475-8783

3188 Bellevue Ave
Cincinnati, OH 45219
Phone (513) 558-5281

3805 Edwards Rd
Cincinnati, OH 45209
Phone (513) 321-0833

200 Albert Sabin Way
Cincinnati, OH 45267
Phone (513) 475-7500

70 Damon Rd
Cincinnati, OH 45218
Phone (513) 605-1000

7690 Discovery Dr
Unit 2300
West Chester, OH 45069
Phone (513) 474-4450

7690 Discovery Dr
West Chester, OH 45069
Phone (513) 475-7425

7750 Discovery Dr
West Chester, OH 45069
Phone (513) 298-7325

7700 University Dr
West Chester, OH 45069
Phone (513) 298-3000

Interoperability endpoints

  • Direct secure messaging: dgopalakrishnan48770@direct.uchealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778544000000",
    "number": "1093974867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 630579",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452630579",
            "telephone_number": "513-585-5501",
            "fax_number": "513-585-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 PIEDMONT AVE",
            "address_2": "STE. 7300",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452194231",
            "telephone_number": "513-475-8783",
            "fax_number": "513-475-7698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRISHNAN",
        "first_name": "DEEPAK",
        "middle_name": "GOPALA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-05",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "OH",
            "license": "30.024214",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "OH",
            "license": "30.024214",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2900874",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100056050",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3000055692",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.