Supritha Nilam, DDS

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

30.027873 Issued in OH

Practice address

222 Piedmont Ave
Cincinnati, OH 45219-4231

Phone

(513) 475-8783

Fax

(513) 475-7698

NPI assigned

Sep 12, 2017

Last updated

May 12, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 3

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

Specialty

Maxillofacial SurgeryAlso: Oral Surgery

Education

University of California, Geffen School of Medicine, 2022

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)

Hospital & facility affiliations

• University of Cincinnati Medical Center, LLC Hospital, Cincinnati, OH, CCN 360003

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• University Surgical-Dental Associates, LLC

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Cincinnati, OH
  • NPI 1649241787

  Oral and Maxillofacial Surgery

  Medicare reassignment Care Compare group NPD
• University of Cincinnati Physicians Company, LLC

  • Family Medicine Physician
  • Cincinnati, OH
  • NPI 1801840434
  NPD (past)
• Caring Hands of Maine

  dba Caring Hands of Maine Dental Center

  • Dentist
  • Ellsworth, ME
  • NPI 1780905539
  NPD (past)

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

• University of Cincinnati Medical Center, LLC

  • General Acute Care Hospital
  • Cincinnati, OH
  • NPI 1033154026
  Care Compare affiliation
• University of Cincinnati Medical Center, LLC

  dba Alliance Medical Transport Service

  • Ambulance
  • Cincinnati, OH
  • NPI 1689618423

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1505174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778544000000",
    "number": "1629597562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 636256",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452636256",
            "telephone_number": "513-585-6200",
            "fax_number": "513-245-3672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 PIEDMONT AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452194231",
            "telephone_number": "513-475-8783",
            "fax_number": "513-475-7698"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "72 Beechland Rd",
            "address_purpose": "LOCATION",
            "city": "Ellsworth",
            "state": "ME",
            "postal_code": "046052533",
            "country_code": "US",
            "telephone_number": "207-667-6789",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NILAM",
        "first_name": "SUPRITHA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-12",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ME",
            "license": "DEN4589",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "OH",
            "license": "30.027873",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "OH",
            "license": "30.027873",
            "primary": true
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "CA",
            "license": "106194",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0139624",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7101055250",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300130293",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Beth Niklas, LISW
• Waldemar T Niklinski, MD
• Mikhail Nikolaenko, 33.021612 N-R
• Tammela Jean Nikolich
• Elena Nikolova
• Raymond Michael Nimeskern, CRNFA
• Nimmie Sehgal MD
• Casey Mae Nimmo, LPC
• Anthony A Nimoh
• Madison Nims

• Oral & Maxillofacial Surgery (D.M.D.) in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.