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

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: August 02, 2026.

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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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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.

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 7 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.