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MR. JOSE A. DOS ANJOS
NPI 1619618600
Registered Nurse in Brockton, MA

Active since April 05, 2022PECOS EnrolledAccepts Medicare Assignment
115 WEST ST, BROCKTON, MA 02301(508) 205-9724 Get Directions Write a Review

NPPES record last updated: April 5, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. Jose A. Dos Anjos NPPES

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

MR. JOSE A. DOS ANJOS (NPI 1619618600) is an individual registered nurse in Brockton, Massachusetts, licensed in Massachusetts (RN2304675) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1619618600
Entity TypeIndividualMale
Primary Taxonomy163W00000X
Provider Legal NameMR. JOSE A. DOS ANJOS
Location Address115 WEST STBrockton, MA 02301-3185
Mailing Address115 West StBrockton, MA 02301-3185 · (508) 205-9724
Phone(508) 205-9724
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateApril 5, 2022
NPPES CertifiedApril 4, 2022
✔ NPI 1619618600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRegistered NurseNursing Service Providers
Taxonomy Code163W00000X
License✔ Licensed in MA · RN2304675
Definition
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
Also ListedRespiratory Therapist, RegisteredTaxonomy 227900000X · License RT10198 (MA)
115 WEST ST, Brockton, MA 02301
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Other Names 1

Other Name (5)Mr. Jose Antonio Tavares Dos Anjos Rn, Bsn, Oms, Dwc

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

Mr. Jose A. Dos Anjos 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 ID4284100918
PECOS Enrollment IDI20260420001753
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 Jose Dos Anjos reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Walk-In MD Clinic
5.5 mi
Urgent Care
81 MEMORIAL PKWY
Randolph, MA 02368
  • Reassigned Medicare billing, Massachusetts enrollment
  • 23 clinicians in this Medicare group
NPI 1003543398 (781) 964-2654

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

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 Jose Dos Anjos's NPI number?

The NPI number for Jose Dos Anjos is 1619618600. It was assigned to this individual provider in the NPPES registry on April 5, 2022. The provider is also known as Mr. Jose Antonio Tavares Dos Anjos Rn, Bsn, Oms, Dwc.

Where is Jose Dos Anjos located?

Jose Dos Anjos practices at 115 West St, Brockton, MA 02301. The listed phone number is (508) 205-9724.

What is Jose Dos Anjos's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

Is Jose Dos Anjos enrolled in Medicare?

Yes. Jose Dos Anjos 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 Jose Dos Anjos's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jose Dos Anjos reassigns Medicare benefits to Walk-In MD Clinic (Randolph, 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 Jose Dos Anjos'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 Jose Dos Anjos was last updated on April 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.