1. Home
  2. Directory
  3. Massachusetts
  4. Chicopee
  5. Dentist
  6. NPI Profile

DR. ANJU NELLISSERY DMD, MD
NPI 1629598123
Dentist - Oral and Maxillofacial Surgery in Chicopee, MA

Active since June 26, 2017PECOS Enrolled
1066 GRANBY RD, CHICOPEE, MA 01020(413) 534-4400 Get Directions Write a Review

NPPES record last updated: January 3, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 3, 2026, Jul 13, 2023, Jul 21, 2022 and 2 more (5 updates tracked since 2017).

About Dr. Anju Nellissery Dmd, Md NPPES

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

DR. ANJU NELLISSERY DMD, MD (NPI 1629598123) is an individual oral and maxillofacial surgery provider in Chicopee, Massachusetts, licensed in Massachusetts (DN1859832) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629598123
Entity TypeIndividualFemale
Primary Taxonomy1223S0112X
Provider Legal NameDR. ANJU NELLISSERYCredential: DMD, MD
Location Address1066 GRANBY RDChicopee, MA 01020-1539
Mailing Address1066 Granby RdChicopee, MA 01020-1539 · (413) 534-4400
Phone(413) 534-4400
Sole ProprietorNo
Enumeration DateJune 26, 2017
Last NPPES UpdateJanuary 3, 20265 updates tracked since enumeration
NPPES CertifiedJanuary 3, 2026
✔ NPI 1629598123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in MA · DN1859832
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.
1066 GRANBY RD, Chicopee, MA 01020
Open in Google Maps ↗

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Anju Nellissery Dmd, Md 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.

Areas of Expertise CMS Part B claims 2

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.

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
29 services29 patients
Removal of growth of mouth with simple repair 40812
This procedure involves the surgical removal of an abnormal growth in the mouth. After the growth is removed, a simple repair is done to heal the area. This can include stitches or other methods to close the wound, promoting quick and effective healing.
14 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01020 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
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.

BRETT C. DENHART, DMD, MD, PC
Dentist (Oral and Maxillofacial Surgery)
1066 GRANBY RD
CHICOPEE, MA 01020
Hampden County (413) 534-4224
RIVERBEND ORAL AND MAXILLOFACIAL SURGERY, PLLC
Oral & Maxillofacial Surgery
1066 GRANBY RD
CHICOPEE, MA 01020
Hampden County (413) 534-4400
BRETT C DENHART DMD MD PC
Dentist (Oral and Maxillofacial Surgery)
1066 GRANBY RD
CHICOPEE, MA 01020
Hampden County (413) 320-9057

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 Anju Nellissery's NPI number?

The NPI number for Anju Nellissery is 1629598123. It was assigned to this individual provider in the NPPES registry on June 26, 2017.

Where is Anju Nellissery located?

Anju Nellissery practices at 1066 Granby Rd, Chicopee, MA 01020. The listed phone number is (413) 534-4400.

What is Anju Nellissery's specialty?

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

Is Anju Nellissery enrolled in Medicare?

Yes. Anju Nellissery is registered in the Medicare PECOS enrollment system.

What insurance does Anju Nellissery 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 7 other insurers list Anju Nellissery 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 Anju Nellissery was last updated on January 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.