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ROLA GHABRAH DENTIST
NPI 1124791447
Dentist - Pediatric Dentistry in Roxbury, MA

Active since August 02, 2021PECOS Enrolled
45 DIMOCK ST, ROXBURY, MA 02119(617) 442-8800(617) 442-4088 Get Directions Write a Review

NPPES record last updated: February 27, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 27, 2025, Aug 2, 2021 (2 updates tracked since 2021).

About Rola Ghabrah Dentist NPPES

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

ROLA GHABRAH DENTIST (NPI 1124791447) is an individual pediatric dentistry provider in Roxbury, Massachusetts, licensed in Massachusetts (DL100663) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124791447
Entity TypeIndividualFemale
Primary Taxonomy1223P0221X
Provider Legal NameROLA GHABRAHCredential: DENTIST
Location Address45 DIMOCK STRoxbury, MA 02119-1208
Mailing Address55 Dimock StreetRoxbury, MA 02119-1029 · (617) 442-8800 · Fax (617) 442-4088
Phone(617) 442-8800
Fax(617) 442-4088
Sole ProprietorNo
Enumeration DateAugust 2, 2021
Last NPPES UpdateFebruary 27, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 27, 2025
✔ NPI 1124791447 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in MA · DL100663
Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
45 DIMOCK ST, Roxbury, MA 02119
Open in Google Maps ↗

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rola Ghabrah Dentist 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.

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.

SUSANA TEJADA D.M.D.
Dentist
45 DIMOCK ST
ROXBURY, MA 02119
Suffolk County (617) 442-8800
DR. EMILY LAUREN KELLOGG MD
Obstetrics & Gynecology
45 DIMOCK ST
ROXBURY, MA 02119
Suffolk County (617) 442-8800
SOFIA PELLON LCSW
Social Worker
45 DIMOCK ST
ROXBURY, MA 02119
Suffolk County (617) 442-8800
HODA HAMED OD
Optometrist
45 DIMOCK ST
ROXBURY, MA 02119
Suffolk County (617) 442-8800
ASHLEY CORREIA
Social Worker (Clinical)
45 DIMOCK ST
ROXBURY, MA 02119
Suffolk County (617) 442-8800
DARREN CHEW DPT
Physical Therapist
45 DIMOCK ST
ROXBURY, MA 02119
Suffolk County (617) 445-0647
JUDANA SANDRA BENNETT
Nurse Practitioner (Psychiatric/Mental Health)
45 DIMOCK ST
ROXBURY, MA 02119
Suffolk County (617) 816-6505
DR. SELENA MARIA FRANCIS DMD
Dentist
45 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 Rola Ghabrah's NPI number?

The NPI number for Rola Ghabrah is 1124791447. It was assigned to this individual provider in the NPPES registry on August 2, 2021.

Where is Rola Ghabrah located?

Rola Ghabrah practices at 45 Dimock St, Roxbury, MA 02119. The listed phone number is (617) 442-8800.

What is Rola Ghabrah's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Is Rola Ghabrah enrolled in Medicare?

Yes. Rola Ghabrah is registered in the Medicare PECOS enrollment system.

What insurance does Rola Ghabrah accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Rola Ghabrah 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 Rola Ghabrah was last updated on February 27, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.