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SARAH E WICHETA DMD, MD
NPI 1265091508
Oral & Maxillofacial Surgery in Boston, MA

Active since June 11, 2019PECOS Enrolled
300 LONGWOOD AVE, BOSTON, MA 02115(617) 355-6259 Get Directions Write a Review

NPPES record last updated: June 9, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Sarah E Wicheta Dmd, Md NPPES

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

SARAH E WICHETA DMD, MD (NPI 1265091508) is an individual oral & maxillofacial surgery provider in Boston, Massachusetts, licensed in Massachusetts (1024186) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS and is a graduate of Harvard School Of Dental Medicine (2019).

NPPES Registry Identity

NPI1265091508
Entity TypeIndividualFemale
Primary Taxonomy204E00000X
Provider Legal NameSARAH E WICHETACredential: DMD, MD
Location Address300 LONGWOOD AVEBoston, MA 02115-5724
Mailing Address300 Longwood AveBoston, MA 02115-5724 · (617) 355-6259
Phone(617) 355-6259
Sole ProprietorNo
Medical School CMSHarvard School Of Dental MedicineGraduated 2019
Enumeration DateJune 11, 2019
Last NPPES UpdateJune 9, 2026
NPPES CertifiedJune 9, 2026
✔ NPI 1265091508 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
License✔ Licensed in MA · 1024186
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X · License DN1859322 (MA)
300 LONGWOOD AVE, Boston, MA 02115
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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)

Sarah E Wicheta Dmd, Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5799257275
PECOS Enrollment IDI20260616001775
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 Sarah Wicheta reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Boston Plastic & Oral Surgery
Same address
Plastic and Reconstructive Surgery
300 LONGWOOD AVE, HU-158
Boston, MA 02115
  • Reassigned Medicare billing, Massachusetts enrollment
  • 37 clinicians in this Medicare group
NPI 1568404903 (617) 355-7252

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

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.

JULIE ANN HANSEN LCSW
Social Worker (Clinical)
300 LONGWOOD AVE
BOSTON, MA 02115
Suffolk County (857) 218-4309
MS. ANNA ROGLIERI
Nurse Practitioner (Psychiatric/Mental Health)
300 LONGWOOD AVE
BOSTON, MA 02115
Suffolk County (617) 355-6000
STEPHEN G. FLYNN M.D.
Anesthesiology (Pediatric Anesthesiology)
300 LONGWOOD AVE
BOSTON, MA 02115
Suffolk County (617) 355-6000
MRS. LAUREN ASHLEY SHARIS P.T., D.P.T
Physical Therapist
300 LONGWOOD AVE
BOSTON, MA 02115
Suffolk County (617) 355-7216
MS. SOYUN KWAN LICSW
Social Worker (Clinical)
300 LONGWOOD AVE, CHILDREN'S HOSPITAL BOSTON
BOSTON, MA 02115
Suffolk County (617) 355-0567
PUJA BANKA M.D.
Pediatrics
300 LONGWOOD AVE, BADER 203
BOSTON, MA 02115
Suffolk County (617) 355-6363
MR. COURTNEY SULLIVAN FRATTO CPNP
Nurse Practitioner (Pediatrics)
300 LONGWOOD AVE, HUNNEWELL BUILDING 322
BOSTON, MA 02115
Suffolk County (857) 218-4085
DR. ELIZABETH S TAGLAUER M.D., PH.D.
Pediatrics (Neonatal-Perinatal Medicine)
300 LONGWOOD AVE
BOSTON, MA 02115
Suffolk County (617) 355-6000

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 Sarah Wicheta's NPI number?

The NPI number for Sarah Wicheta is 1265091508. It was assigned to this individual provider in the NPPES registry on June 11, 2019.

Where is Sarah Wicheta located?

Sarah Wicheta practices at 300 Longwood Ave, Boston, MA 02115. The listed phone number is (617) 355-6259.

What is Sarah Wicheta's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Sarah Wicheta enrolled in Medicare?

Yes. Sarah Wicheta is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sarah Wicheta's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sarah Wicheta reassigns Medicare benefits to Boston Plastic & Oral Surgery (Boston, 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 Sarah Wicheta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sarah Wicheta 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 and 7 other insurers list Sarah Wicheta 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 Sarah Wicheta was last updated on June 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.