DR. ANJU NELLISSERY DMD, MD
NPI 1629598123
Dentist - Oral and Maxillofacial Surgery in Chicopee, MA
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
Specialties & Licenses
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. Anju Nellissery Dmd, Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Anju Nellissery reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
West Springfield, MA 01089
- Reassigned Medicare billing, Connecticut and Massachusetts enrollments
- 4 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.
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.
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.
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.
CHICOPEE, MA 01020
CHICOPEE, MA 01020
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.
Which organization bills Medicare for Anju Nellissery's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Anju Nellissery reassigns Medicare benefits to Mcnally Brothers (West Springfield, 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 Anju Nellissery's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 15 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 10 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.
# Dr. Anju Nellissery, DMD, MD · NPI 1629598123
Oral and Maxillofacial Surgery provider in Chicopee, Massachusetts. Individual provider, active in the CMS NPPES registry since June 26, 2017.
## Identity
- **NPI:** 1629598123 (Entity type: Individual)
- **Enumerated:** June 26, 2017
- **Primary specialty:** Dentist - Oral and Maxillofacial Surgery · taxonomy 1223S0112X
- **State license:** DN1859832 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 1066 GRANBY RD, Chicopee, MA 01020-1539
- **Phone:** (413) 534-4400
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Mcnally Brothers (NPI 1396897823, West Springfield, MA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 3, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1629598123) · Data from the CMS NPPES public registry.