DR. DEVAKI SUNDARARAJAN D.M.D
NPI 1275708455
Dentist - Oral and Maxillofacial Pathology in Boston, MA

Active since April 28, 2008PECOS EnrolledAccepts Medicare Assignment
100 E NEWTON ST # G04, ORAL PATHOLOGY DEPARTMENT, BOSTON, MA 02118(617) 638-4775(617) 638-4697 Get Directions Write a Review

NPPES record last updated: April 28, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Devaki Sundararajan D.m.d NPPES

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

DR. DEVAKI SUNDARARAJAN D.M.D (NPI 1275708455) is an individual oral and maxillofacial pathology provider in Boston, Massachusetts, licensed in Massachusetts (9873) and active in the NPI registry since April 2008. She is enrolled in Medicare PECOS, is affiliated with Boston Medical Center, and is a graduate of Boston Univ Goldman School Of Dental Medicine (2009).

NPPES Registry Identity

NPI1275708455
Entity TypeIndividualFemale
Primary Taxonomy1223P0106X
Provider Legal NameDR. DEVAKI SUNDARARAJANCredential: D.M.D
Location Address100 E NEWTON ST # G04, ORAL PATHOLOGY DEPARTMENTBoston, MA 02118-2308
Mailing Address100 E Newton St # G04, Oral Pathology DepartmentBoston, MA 02118-2308 · (617) 638-4775 · Fax (617) 638-4697
Fax(617) 638-4697
Sole ProprietorYes
Medical School CMSBoston Univ Goldman School Of Dental MedicineGraduated 2009
Enumeration DateApril 28, 2008
NPI 1275708455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial PathologyDental Providers
Taxonomy Code1223P0106X
License Licensed in MA · 9873
Definition

The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations.

100 E NEWTON ST # G04, Boston, MA 02118

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Devaki Sundararajan D.m.d is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9032586474
PECOS Enrollment IDI20221027002562
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Boston Medical Center

Acute Care Hospitals · Boston, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220031
Location1 Boston Medical Center PlaceBoston, MA 02118 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02118 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.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1275708455, enumerated as an "individual" on April 28, 2008.

The provider is located at 100 E NEWTON ST # G04 ORAL PATHOLOGY DEPARTMENT BOSTON, MA 02118 and the phone number is (617) 638-4775.

Dentist with taxonomy code 1223P0106X and a focus in Oral and Maxillofacial Pathology.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Sheld, Anthem Blue. Please consult your insurance carrier or call the provider to verify.

Devaki Sundararajan is affiliated with: BOSTON MEDICAL CENTER.