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: July 19, 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
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

Medicare Participation & PECOS Enrollment Status

Adam Shafik is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Adam Shafik is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 9931532306

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20211101001118

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Oral & Maxillofacial Surgery
165 CAMBRIDGE ST STE 401, MGH DENTAL GROUP
BOSTON, MA 02114
Dentist (General Practice)
165 CAMBRIDGE ST STE 401, MGH DENTAL GROUP
BOSTON, MA 02114
Student in an Organized Health Care Education/Training Program
165 CAMBRIDGE ST STE 401
BOSTON, MA 02114
Dentist
165 CAMBRIDGE ST STE 401
BOSTON, MA 02114
Dentist (General Practice)
165 CAMBRIDGE ST STE 401
BOSTON, MA 02114

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336707462, enumerated as an "individual" on June 04, 2019.

The provider is located at 165 CAMBRIDGE ST STE 401 MGH DENTAL GROUP BOSTON, MA 02114 and the phone number is (617) 726-1076.

Oral & Maxillofacial Surgery with taxonomy code 204E00000X.