JAMES DAMASCUS D.D.S.
NPI 1093371700
Dentist - General Practice in Bronx, NY

Active since May 17, 2019PECOS Enrolled
111 E 210TH ST, BRONX, NY 10467(248) 252-6623 Get Directions Write a Review

NPPES record last updated: March 23, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 23, 2021, May 17, 2019 (2 updates tracked since 2019).

About James Damascus D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAMES DAMASCUS D.D.S. (NPI 1093371700) is an individual general practice provider in Bronx, New York, licensed in New York (061313) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS and maintains a secondary practice location in Royal Oak.

NPPES Registry Identity

NPI1093371700
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameJAMES DAMASCUSCredential: D.D.S.
Location Address111 E 210TH STBronx, NY 10467-2401
Mailing Address111 E 210th StBronx, NY 10467-2401 · (248) 252-6623
Sole ProprietorYes
Enumeration DateMay 17, 2019
Last NPPES UpdateMarch 23, 20212 updates tracked since enumeration
NPPES CertifiedMarch 23, 2021
✔ NPI 1093371700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NY · 061313
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
111 E 210TH ST, Bronx, NY 10467

Secondary Practice Location 1

Location 14620 Leafdale Ave Apt 5Royal Oak, MI 48073-1762 · Phone (248) 252-6623 ext. 24825

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

James Damascus D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show James Damascus reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Medicine
112 CHARLTON RD
Ballston Lake, NY 12019
  • Reassigned Medicare billing, New York enrollment
  • Also billed through NPI 1629415740 (New York)
  • 456 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10467 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Infectious Disease)
111 E 210TH ST
BRONX, NY 10467
Radiology (Diagnostic Neuroimaging)
111 E 210TH ST
BRONX, NY 10467
Psychiatry & Neurology (Neurology)
111 E 210TH ST
BRONX, NY 10467
Pediatrics
111 E 210TH ST
BRONX, NY 10467
Nurse Practitioner (Family)
111 E 210TH ST
BRONX, NY 10467
Anesthesiology
111 E 210TH ST
BRONX, NY 10467
Student in an Organized Health Care Education/Training Program
111 E 210TH ST
BRONX, NY 10467
Pediatrics
111 E 210TH ST
BRONX, NY 10467

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is James Damascus's NPI number?

The NPI number for James Damascus is 1093371700. It was assigned to this individual provider in the NPPES registry on May 17, 2019.

Where is James Damascus located?

James Damascus practices at 111 E 210th St, Bronx, NY 10467. The listed phone number is (248) 252-6623.

What is James Damascus's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is James Damascus enrolled in Medicare?

Yes. James Damascus is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for James Damascus's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Damascus reassigns Medicare benefits to Saratoga Hospital (Ballston Lake, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for James Damascus's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Damascus accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, HRI Dental & Vision and Humana and 2 other insurers list James Damascus as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for James Damascus was last updated on March 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.