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ADAM O SHAFIK DDS
NPI 1336707462
Oral & Maxillofacial Surgery in Boston, MA

Active since June 04, 2019PECOS EnrolledAccepts Medicare Assignment
165 CAMBRIDGE ST STE 401, MGH DENTAL GROUP, BOSTON, MA 02114(617) 726-1076 Get Directions Write a Review

NPPES record last updated: June 4, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Adam O Shafik Dds NPPES

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

ADAM O SHAFIK DDS (NPI 1336707462) is an individual oral & maxillofacial surgery provider in Boston, Massachusetts, licensed in Massachusetts (DL13949) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1336707462
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NameADAM O SHAFIKCredential: DDS
Location Address165 CAMBRIDGE ST STE 401, MGH DENTAL GROUPBoston, MA 02114-2750
Mailing Address165 Cambridge St Ste 401, Mgh Dental GroupBoston, MA 02114-2750 · (617) 726-1076
Phone(617) 726-1076
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJune 4, 2019
✔ NPI 1336707462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
License✔ Licensed in MA · DL13949
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.
165 CAMBRIDGE ST STE 401, Boston, MA 02114
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Adam O Shafik Dds 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 ID9931532306
PECOS Enrollment IDI20211101001118
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 Adam Shafik reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Loma Linda University
2,546 mi
Medical Specialty
LOMA LINDA UNIVERSITY-CENTER FOR HEALTH PROMOTION, 24785 STEWART STREET, ROOM 111
Loma Linda, CA 92350
  • Reassigned Medicare billing, California enrollment
  • 17 clinicians in this Medicare group
NPI 1003923061 (909) 558-4594

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 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KEVIN R KALIN DDS
Oral & Maxillofacial Surgery
165 CAMBRIDGE ST STE 401, MGH DENTAL GROUP
BOSTON, MA 02114
Suffolk County (617) 726-8222
DR. MATTHEW QIANCONG DENG DDS
Dentist
165 CAMBRIDGE ST STE 401
BOSTON, MA 02114
Suffolk County (617) 726-1076
SAMA E ABDUL-AZIZ DMD
Dentist (General Practice)
165 CAMBRIDGE ST STE 401, MGH DENTAL GROUP
BOSTON, MA 02114
Suffolk County (617) 726-1076
JULIA HALEY PICARELLA
Student in an Organized Health Care Education/Training Program
165 CAMBRIDGE ST STE 401
BOSTON, MA 02114
Suffolk County (631) 626-8553
DR. AMANDA MADISON ZECCOLA DDS
Student in an Organized Health Care Education/Training Program
165 CAMBRIDGE ST STE 401
BOSTON, MA 02114
Suffolk County (617) 726-1076

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 Adam Shafik's NPI number?

The NPI number for Adam Shafik is 1336707462. It was assigned to this individual provider in the NPPES registry on June 4, 2019.

Where is Adam Shafik located?

Adam Shafik practices at 165 Cambridge St Ste 401 Mgh Dental Group, Boston, MA 02114. The listed phone number is (617) 726-1076.

What is Adam Shafik's specialty?

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

Is Adam Shafik enrolled in Medicare?

Yes. Adam Shafik 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.

Which organization bills Medicare for Adam Shafik's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Adam Shafik reassigns Medicare benefits to Loma Linda University (Loma Linda, CA). 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 Adam Shafik's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Adam Shafik was last updated on June 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.