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MARWA ELLEBOUDY BDS, LD
NPI 1225457567
Dentist - General Practice in Provincetown, MA

Active since April 15, 2014PECOS Enrolled
49 HARRY KEMP WAY, OUTER CAPE HEALTH SERVICES, INC., PROVINCETOWN, MA 02657(508) 487-9395(508) 487-3285 Get Directions Write a Review

NPPES record last updated: May 13, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Marwa Elleboudy Bds, Ld NPPES

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

MARWA ELLEBOUDY BDS, LD (NPI 1225457567) is an individual general practice provider in Provincetown, Massachusetts, licensed in Massachusetts (DL12170) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225457567
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameMARWA ELLEBOUDYCredential: BDS, LD
Location Address49 HARRY KEMP WAY, OUTER CAPE HEALTH SERVICES, INC.Provincetown, MA 02657
Mailing AddressPo Box 1413, Outer Cape Health Services, Inc.Wellfleet, MA 02667 · (508) 240-0208 · Fax (508) 240-0499
Phone(508) 487-9395
Fax(508) 487-3285
Sole ProprietorNo
Enumeration DateApril 15, 2014
Last NPPES UpdateMay 13, 2014
✔ NPI 1225457567 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MA · DL12170
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
49 HARRY KEMP WAY, Provincetown, MA 02657
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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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marwa Elleboudy Bds, Ld 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 02657 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
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.

WILLIAM E SHAY MD
Internal Medicine
49 HARRY KEMP WAY
PROVINCETOWN, MA 02657
Barnstable County (508) 487-9395
ANDREW CARL JORGENSEN M.D.
Internal Medicine
49 HARRY KEMP WAY
PROVINCETOWN, MA 02657
Barnstable County (508) 487-9395
MR. JOHN MICHAEL TREEFUL RDH
Dental Hygienist
49 HARRY KEMP WAY
PROVINCETOWN, MA 02657
Barnstable County (508) 487-9395
LINDA A ARECTOS MS
Audiologist
49 HARRY KEMP WAY, AUDIOLOGY DEPT
PROVINCETOWN, MA 02657
Barnstable County (508) 487-9395
HARBOR HEALTH SERVICES, INC.
Dentist (General Practice)
49 HARRY KEMP WAY
PROVINCETOWN, MA 02657
Barnstable County (508) 778-5440
DR. MICHAEL SENTMAN HENDERSON OD
Optometrist
49 HARRY KEMP WAY
PROVINCETOWN, MA 02657
Barnstable County (508) 432-1400
MARIA COYNE
Nurse Practitioner (Family)
49 HARRY KEMP WAY
PROVINCETOWN, MA 02657
Barnstable County (508) 487-9395
DR. NARCIS SEBASTIAN POPITA
Dentist (Dental Public Health)
49 HARRY KEMP WAY
PROVINCETOWN, MA 02657
Barnstable County (508) 487-9395

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 Marwa Elleboudy's NPI number?

The NPI number for Marwa Elleboudy is 1225457567. It was assigned to this individual provider in the NPPES registry on April 15, 2014.

Where is Marwa Elleboudy located?

Marwa Elleboudy practices at 49 Harry Kemp Way Outer Cape Health Services, Inc., Provincetown, MA 02657. The listed phone number is (508) 487-9395.

What is Marwa Elleboudy's specialty?

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

Is Marwa Elleboudy enrolled in Medicare?

Yes. Marwa Elleboudy is registered in the Medicare PECOS enrollment system.

What insurance does Marwa Elleboudy 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 Marwa Elleboudy 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 Marwa Elleboudy was last updated on May 13, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.