Anisha Thondukolam, DDS
NPI 1609109768 · Periodontics · San Ramon, CA
Enrolled with Medicare as Order and Referring Only - Other (physician) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Anisha Thondukolam, DDS is a Periodontics provider in San Ramon, CA (NPI 1609109768).
Provider details
- NPI number
- 1609109768
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- License
- 62123 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2009-09-08
- Last updated
- 2013-04-01
Frequently asked questions
- What is Anisha Thondukolam's NPI number?
- Anisha Thondukolam's National Provider Identifier (NPI) is 1609109768, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Anisha Thondukolam's specialty?
- Anisha Thondukolam is listed in the NPPES registry with a primary specialty of Periodontics (Dental Providers).
- Where is Anisha Thondukolam located?
- Anisha Thondukolam's practice location on file with NPPES is 591 Fallen Leaf Cir, San Ramon, CA 94583-5305.
- What is Anisha Thondukolam's phone number?
- The practice phone number listed in the NPPES registry for Anisha Thondukolam is (510) 604-5776.
- Does Anisha Thondukolam accept Medicare?
- Anisha Thondukolam is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Anisha Thondukolam's NPI active?
- Yes — Anisha Thondukolam's NPI (1609109768) is active in the NPPES registry as of the last update on 2013-04-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.