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RAFAEL CARMONA DMD
NPI 1588198667
Dentist - Endodontics in Roxbury, MA

Active since April 17, 2017PECOS Enrolled
1290 TREMONT ST FL 2, ROXBURY, MA 02120(617) 989-3229(617) 858-2664 Get Directions Write a Review

NPPES record last updated: April 17, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Rafael Carmona Dmd NPPES

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

RAFAEL CARMONA DMD (NPI 1588198667) is an individual endodontics provider in Roxbury, Massachusetts, licensed in Massachusetts (DL13223) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1588198667
Entity TypeIndividualMale
Primary Taxonomy1223E0200X
Provider Legal NameRAFAEL CARMONACredential: DMD
Location Address1290 TREMONT ST FL 2Roxbury, MA 02120-3432
Mailing Address1290 Tremont St Fl 2Roxbury, MA 02120-3432 · (617) 989-3229 · Fax (617) 858-2664
Phone(617) 989-3229
Fax(617) 858-2664
Sole ProprietorNo
Enumeration DateApril 17, 2017
✔ NPI 1588198667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License✔ Licensed in MA · DL13223
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
1290 TREMONT ST FL 2, Roxbury, MA 02120
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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, BEST Life 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 (PECOS)

Rafael Carmona 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.

Medicare Billing Reassignment

Medicare enrollment records show Rafael Carmona reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Harbor Health Services Inc
2.5 mi
Community Health
250 MOUNT VERNON ST
Dorchester, MA 02125
  • Reassigned Medicare billing, Massachusetts enrollment
  • 31 clinicians in this Medicare group
NPI 1659330496 (617) 288-1140

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02120 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 Rafael Carmona's NPI number?

The NPI number for Rafael Carmona is 1588198667. It was assigned to this individual provider in the NPPES registry on April 17, 2017.

Where is Rafael Carmona located?

Rafael Carmona practices at 1290 Tremont St Fl 2, Roxbury, MA 02120. The listed phone number is (617) 989-3229.

What is Rafael Carmona's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Is Rafael Carmona enrolled in Medicare?

Yes. Rafael Carmona is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Rafael Carmona's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rafael Carmona reassigns Medicare benefits to Harbor Health Services Inc (Dorchester, MA). 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 Rafael Carmona's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rafael Carmona accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 6 other insurers list Rafael Carmona 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 Rafael Carmona was last updated on April 17, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.