OMAR ELBARRAG I
NPI 1104780824
Dentist - General Practice in Roxbury, MA

Q: What is Omar Elbarrag's NPI number?

The NPI number for Omar Elbarrag is 1104780824. It was assigned to this individual provider in the NPPES registry on December 16, 2025.

Q: What is Omar Elbarrag's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Omar Elbarrag was last updated on December 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.

Active since December 16, 2025PECOS Enrolled

55 DIMOCK ST, ROXBURY, MA 02119(617) 442-8800 Get Directions Write a Review

NPPES record last updated: December 16, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Omar Elbarrag I NPPES

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

OMAR ELBARRAG I (NPI 1104780824) is an individual general practice provider in Roxbury, Massachusetts, licensed in Massachusetts (DL101270) and active in the NPI registry since December 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1104780824

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameOMAR ELBARRAG I

Location Address55 DIMOCK STRoxbury, MA 02119-1029

Mailing Address9 Forbes StJamaica Plain, MA 02130-4858

Phone(617) 442-8800

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateDecember 16, 2025

NPPES CertifiedDecember 16, 2025

✔ NPI 1104780824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in MA · DL101270

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.

55 DIMOCK ST, Roxbury, MA 02119

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Omar Elbarrag I is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2567941784

PECOS Enrollment IDI20260209001914

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 Omar Elbarrag reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dimock Community Health Center, Inc

Same address

Federally Qualified Health Center (FQHC)

45 DIMOCK ST
Roxbury, MA 02119

Reassigned Medicare billing, Massachusetts enrollment
50 clinicians in this Medicare group

NPI 1588719488 (617) 442-8800

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 02119 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

$97.64 typical visit price

range $63.72 – $189.86

Typical copayment $24.41 (range $15.93 – $47.46)

Most-billed visit code 99203

Established Patient

$78.84 typical visit price

range $21.07 – $155.29

Typical copayment $19.71 (range $5.26 – $38.82)

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.

DR. BELA ROSA BASHAR MD

Internal Medicine (Infectious Disease)

55 DIMOCK ST, DIMOCK COMMUNITY HEALTH CENTER
ROXBURY, MA 02119

Suffolk County (617) 442-8800

MS. GILLIAN ERICA HELFMAN

Speech-Language Pathologist

55 DIMOCK ST
ROXBURY, MA 02119

Suffolk County (617) 442-8800

DIMOCK COMMUNITY HEALTH CENTER, INC

Pharmacy (Community/Retail Pharmacy)

55 DIMOCK ST
ROXBURY, MA 02119

Suffolk County (617) 989-1022

IVELISSE VAZQUEZ MSW, LCSW

Social Worker (Clinical)

55 DIMOCK ST, ROOM 266A
ROXBURY, MA 02119

Suffolk County (617) 442-8800

MS. JESSICA LEE PATNODE LCSW

Social Worker

55 DIMOCK ST
ROXBURY, MA 02119

Suffolk County (617) 442-8800

MISS LISA DUPREE STUDENT

Student in an Organized Health Care Education/Training Program

55 DIMOCK ST
ROXBURY, MA 02119

Suffolk County (617) 442-8800

DEBORAH C FANARA-VIASUS

Occupational Therapist (Pediatrics)

55 DIMOCK ST
ROXBURY, MA 02119

Suffolk County (617) 442-8800

CANDI MOORE RDH

Dental Hygienist

55 DIMOCK ST
ROXBURY, MA 02119

Suffolk County (617) 442-8800

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 Omar Elbarrag's NPI number?

The NPI number for Omar Elbarrag is 1104780824. It was assigned to this individual provider in the NPPES registry on December 16, 2025.

Where is Omar Elbarrag located?

Omar Elbarrag practices at 55 Dimock St, Roxbury, MA 02119. The listed phone number is (617) 442-8800.

What is Omar Elbarrag's specialty?

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

Is Omar Elbarrag enrolled in Medicare?

Yes. Omar Elbarrag is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Omar Elbarrag's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Omar Elbarrag reassigns Medicare benefits to Dimock Community Health Center, Inc (Roxbury, MA). 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 Omar Elbarrag's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Omar Elbarrag accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Omar Elbarrag 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 Omar Elbarrag was last updated on December 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.