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DR. ANISSA DERROUCHE DMD
NPI 1386851996
Dentist in Charlestown, MA

Active since May 16, 2007PECOS Enrolled
529 MAIN ST STE 209, CHARLESTOWN, MA 02129(617) 241-9220(617) 241-4905 Get Directions Write a Review

NPPES record last updated: October 1, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Anissa Derrouche Dmd NPPES

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

DR. ANISSA DERROUCHE DMD (NPI 1386851996) is an individual dentist in Charlestown, Massachusetts, licensed in Massachusetts (20671) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386851996
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. ANISSA DERROUCHECredential: DMD
Location Address529 MAIN ST STE 209Charlestown, MA 02129-1135
Mailing Address529 Main St Ste 209Charlestown, MA 02129-1135 · (617) 241-9220 · Fax (617) 241-4905
Phone(617) 241-9220
Fax(617) 241-4905
Sole ProprietorNo
Enumeration DateMay 16, 2007
Last NPPES UpdateOctober 1, 2024
NPPES CertifiedOctober 1, 2024
✔ NPI 1386851996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MA · 20671
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
529 MAIN ST STE 209, Charlestown, MA 02129
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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, Humana.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Anissa Derrouche Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02129 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.

Other Providers at the Same Location NPPES 2

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

DR. EMILY YOU YOU YE DMD
Dentist
529 MAIN ST STE 209
CHARLESTOWN, MA 02129
Suffolk County (617) 241-9220
DR. JENNIFER NG DMD
Dentist (General Practice)
529 MAIN ST STE 209
CHARLESTOWN, MA 02129
Suffolk County (617) 241-9220

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 Anissa Derrouche's NPI number?

The NPI number for Anissa Derrouche is 1386851996. It was assigned to this individual provider in the NPPES registry on May 16, 2007.

Where is Anissa Derrouche located?

Anissa Derrouche practices at 529 Main St Ste 209, Charlestown, MA 02129. The listed phone number is (617) 241-9220.

What is Anissa Derrouche's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Anissa Derrouche enrolled in Medicare?

Yes. Anissa Derrouche is registered in the Medicare PECOS enrollment system.

What insurance does Anissa Derrouche accept?

Health plans from Anthem Blue Cross and Blue Sheld and Humana list Anissa Derrouche 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 Anissa Derrouche was last updated on October 1, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.