Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. FIDELITO GABRIEL DMD
NPI 1619919909
Dentist - General Practice in Boston, MA

Active since June 12, 2006PECOS Enrolled
1815 DORCHESTER AVE, BOSTON, MA 02124(617) 763-9351 Get Directions Write a Review

NPPES record last updated: October 23, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Fidelito Gabriel Dmd NPPES

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

DR. FIDELITO GABRIEL DMD (NPI 1619919909) is an individual general practice provider in Boston, Massachusetts, licensed in Massachusetts (21464) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619919909
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. FIDELITO GABRIELCredential: DMD
Location Address1815 DORCHESTER AVEBoston, MA 02124-2551
Mailing Address1815 Dorchester AveBoston, MA 02124-2551 · (617) 763-9351
Sole ProprietorNo
Enumeration DateJune 12, 2006
Last NPPES UpdateOctober 23, 2026
NPPES CertifiedOctober 23, 2026
✔ NPI 1619919909 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MA · 21464
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1815 DORCHESTER AVE, Boston, MA 02124

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Fidelito Gabriel 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 Fidelito Gabriel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Federally Qualified Health Center (FQHC)
158 PLEASANT STREET
Brockton, MA 02301
  • Reassigned Medicare billing, Massachusetts enrollment
  • 128 clinicians in this Medicare group

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 02124 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 3

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

Dentist (General Practice)
1815 DORCHESTER AVE
BOSTON, MA 02124
Dentist (General Practice)
1815 DORCHESTER AVE
DORCHESTER CENTER, MA 02124
Dentist (General Practice)
1815 DORCHESTER AVE
DORCHESTER CENTER, MA 02124

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 Fidelito Gabriel's NPI number?

The NPI number for Fidelito Gabriel is 1619919909. It was assigned to this individual provider in the NPPES registry on June 12, 2006.

Where is Fidelito Gabriel located?

Fidelito Gabriel practices at 1815 Dorchester Ave, Boston, MA 02124. The listed phone number is (617) 763-9351.

What is Fidelito Gabriel's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Fidelito Gabriel enrolled in Medicare?

Yes. Fidelito Gabriel is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Fidelito Gabriel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Fidelito Gabriel reassigns Medicare benefits to Brockton Neighborhood Health Center (Brockton, 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 Fidelito Gabriel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Fidelito Gabriel 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 10 other insurers list Fidelito Gabriel 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 Fidelito Gabriel was last updated on October 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 days 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.