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KENTARO IKEDA DDS
NPI 1467582577
Dentist - Oral and Maxillofacial Surgery in Boston, MA

Active since March 07, 2007PECOS EnrolledAccepts Medicare Assignment
15 PARKMAN ST, BOSTON, MA 02114(617) 726-7240 Get Directions Write a Review

NPPES record last updated: April 24, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 24, 2026, Feb 23, 2017 (2 updates tracked since 2017).

About Kentaro Ikeda Dds NPPES

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

KENTARO IKEDA DDS (NPI 1467582577) is an individual oral and maxillofacial surgery provider in Boston, Massachusetts, licensed in Massachusetts (DF11935) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, is affiliated with Massachusetts General Hospital, and maintains a secondary practice location in Aurora.

NPPES Registry Identity

NPI1467582577
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameKENTARO IKEDACredential: DDS
Location Address15 PARKMAN STBoston, MA 02114-3117
Mailing Address13065 E 17th Ave, Mail Stop F844Aurora, CO 80045-2532 · (303) 724-9584
Phone(617) 726-7240
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateMarch 7, 2007
Last NPPES UpdateApril 24, 20262 updates tracked since enumeration
NPPES CertifiedApril 24, 2026
✔ NPI 1467582577 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in MA · DF11935
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Also ListedDentistTaxonomy 122300000X · License 150533 (NC)
15 PARKMAN ST, Boston, MA 02114
Open in Google Maps ↗

Secondary Practice Location 1

Location 113065 E 17th AveAurora, CO 80045-2532 · Phone (303) 724-5505

Other Identifiers 1

Medicaid38820064CO

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kentaro Ikeda 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 ID5092090860
PECOS Enrollment IDI20210407002512
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 Reassignments

3

Medicare enrollment records show Kentaro Ikeda reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dana-Farber Cancer Institute, Inc.
2.7 mi
General Acute Care Hospital
450 BROOKLINE AVE
Boston, MA 02215
  • Reassigned Medicare billing, Massachusetts enrollment
  • 1,026 clinicians in this Medicare group
NPI 1851333686 (617) 632-3000
Brigham & Womens Hospital, Inc.
2.7 mi
General Acute Care Hospital
75 FRANCIS ST
Boston, MA 02115
  • Reassigned Medicare billing, Massachusetts enrollment
  • 220 clinicians in this Medicare group
NPI 1790717650 (617) 732-5500
Brigham & Womens Physicians Organization Inc
2.7 mi
Internal Medicine
75 FRANCIS ST
Boston, MA 02115
  • Reassigned Medicare billing, Massachusetts enrollment
  • 4,574 clinicians in this Medicare group
NPI 1033535497 (617) 732-5500

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
155 services84 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
79 services34 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
58 services47 patients
Injection of trigger points, 3 or more muscles 20553
Trigger point injection therapy involves injecting medication into specific areas of your muscles, known as trigger points. These are areas that produce pain and discomfort. If you have three or more muscles affected, each will be treated individually.
47 services18 patients
Injection of trigger points, 3 or more muscles 20553
Trigger point injection therapy involves injecting medication into specific areas of your muscles, known as trigger points. These are areas that produce pain and discomfort. If you have three or more muscles affected, each will be treated individually.
28 services15 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
19 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Massachusetts General Hospital

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220071
Location55 Fruit StreetBoston, MA 02114 · Suffolk County
Emergency services Birthing friendly

Brigham And Women's Hospital

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220110
Location75 Francis StreetBoston, MA 02115 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02114 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 20

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

MRS. PATRICIA NOREEN FINNERAN NP-C
Nurse Practitioner (Adult Health)
15 PARKMAN ST, WAC 440
BOSTON, MA 02114
Suffolk County (617) 643-4709
MISS BRYANA CAREY PT, DPT
Physical Therapist
15 PARKMAN ST
BOSTON, MA 02114
Suffolk County (617) 643-4373
DR. WILLIAM ELLIS FALK MD
Psychiatry & Neurology (Geriatric Psychiatry)
15 PARKMAN ST, PSYCHIATRY OUTPATIENT DEPARTMENT WAC 812
BOSTON, MA 02114
Suffolk County (617) 726-5600
MRS. LILIAN DAYAN-CIMADORO PT,DPT,MS,NCS,CLT-LA
Physical Therapist (Neurology)
15 PARKMAN ST, ROOM 134
BOSTON, MA 02114
Suffolk County (617) 724-7484
MS. ANGELA MARY HAUBER DPT
Physical Therapist
15 PARKMAN ST
BOSTON, MA 02114
Suffolk County (617) 726-2962
JACKIE A MULGREW PT
Physical Therapist
15 PARKMAN ST, WACC 134
BOSTON, MA 02114
Suffolk County (617) 726-7487
MS. MARY S KNAB P.T.
Physical Therapist
15 PARKMAN ST
BOSTON, MA 02114
Suffolk County (617) 724-6398
DR. JAMES ELTON GROVES MD
Psychiatry & Neurology (Psychiatry)
15 PARKMAN ST, WAC 8 PSYCHIATRY OUTPATIENT DEPARTMENT
BOSTON, MA 02114
Suffolk County (617) 726-2714

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 Kentaro Ikeda's NPI number?

The NPI number for Kentaro Ikeda is 1467582577. It was assigned to this individual provider in the NPPES registry on March 7, 2007.

Where is Kentaro Ikeda located?

Kentaro Ikeda practices at 15 Parkman St, Boston, MA 02114. The listed phone number is (617) 726-7240.

What is Kentaro Ikeda's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Kentaro Ikeda enrolled in Medicare?

Yes. Kentaro Ikeda 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 organizations bill Medicare for Kentaro Ikeda's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kentaro Ikeda reassigns Medicare benefits to 3 organizations: Dana-Farber Cancer Institute, Inc. (Boston, MA), Brigham & Womens Hospital, Inc. (Boston, MA) and Brigham & Womens Physicians Organization Inc (Boston, MA). Each 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 Kentaro Ikeda's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kentaro Ikeda 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 and 1 other insurer list Kentaro Ikeda 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 Kentaro Ikeda affiliated with any hospitals?

According to CMS data, Kentaro Ikeda is affiliated with Massachusetts General Hospital and Brigham And Women's Hospital.

When was this NPI record last updated?

The NPPES record for Kentaro Ikeda was last updated on April 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.