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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: August 09, 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
Phone(617) 638-4775
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
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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 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 NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Devaki Sundararajan's NPI number?

The NPI number for Devaki Sundararajan is 1275708455. It was assigned to this individual provider in the NPPES registry on April 28, 2008.

Where is Devaki Sundararajan located?

Devaki Sundararajan practices at 100 E Newton St # G04 Oral Pathology Department, Boston, MA 02118. The listed phone number is (617) 638-4775.

What is Devaki Sundararajan's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Pathology, with taxonomy code 1223P0106X.

Is Devaki Sundararajan enrolled in Medicare?

Yes. Devaki Sundararajan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Devaki Sundararajan 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 Devaki Sundararajan 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.

Is Devaki Sundararajan affiliated with any hospitals?

According to CMS data, Devaki Sundararajan is affiliated with Boston Medical Center.

When was this NPI record last updated?

The NPPES record for Devaki Sundararajan was last updated on April 28, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.