Ankineedu Babu Dasari

Primary specialty

DentistTaxonomy code 122300000X

License

D-00100 Issued in KY

Practice address

1102 S Virginia St Ste B
Hopkinsville, KY 42240-3579

Phone

(270) 632-3088

Fax

(270) 632-8212

NPI assigned

Mar 19, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dentist

Education

Meharry Medical College School of Dentistry, 2025

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Pennyroyal Healthcare Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Hopkinsville, KY
  • NPI 1124319942
  Medicare reassignment NPD
• Pennyroyal Healthcare Services, Inc

  • Federally Qualified Health Center (FQHC)
  • Hopkinsville, KY
  • NPI 1104532332

  Dentist

  NPD
• Community Health Programs

  • Federally Qualified Health Center (FQHC)
  • Pittsfield, MA
  • NPI 1942759162
  NPD
• Community Health Center of Fort Dodge Inc.

  • Federally Qualified Health Center (FQHC)
  • Fort Dodge, IA
  • NPI 1225083728
  NPD (past)

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

{
    "created_epoch": "1647648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771372800000",
    "number": "1821747775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 S VIRGINIA ST STE B",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422403579",
            "telephone_number": "270-632-3088",
            "fax_number": "270-632-8212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 S VIRGINIA ST STE B",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422403579",
            "telephone_number": "270-632-3088",
            "fax_number": "270-632-8212"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "510 North St Ste 2",
            "address_purpose": "LOCATION",
            "city": "Pittsfield",
            "state": "MA",
            "postal_code": "012014111",
            "country_code": "US",
            "telephone_number": "413-447-2781",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DASARI",
        "first_name": "ANKINEEDU BABU",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-19",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DL15131",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "D-00100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Cummins
• Jacob Curtis
• Tamara Shea-Gee Curtis, OTR/L
• Edward Dabney Jr., RBT
• Michael Aubrey Daniel
• Alissa K Daugherty, MD
• Lisa Daugherty
• Alison Dauzat
• Gwendolyn Davenport
• Amy Davis, LPN

• Dentist in Hopkinsville, KY
• Providers in Hopkinsville, KY by specialty
• Dentist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.