DR. DIMITRI SAMARATUNGA DMD
NPI 1790199438
Dentist in Fitchburg, MA

Q: What is Dimitri Samaratunga's NPI number?

The NPI number for Dimitri Samaratunga is 1790199438. It was assigned to this individual provider in the NPPES registry on June 19, 2014.

Q: What is Dimitri Samaratunga's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Active since June 19, 2014PECOS Enrolled

130 WATER ST, FITCHBURG, MA 01420(978) 342-8500 Get Directions Write a Review

NPPES record last updated: June 19, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Dimitri Samaratunga Dmd NPPES

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

DR. DIMITRI SAMARATUNGA DMD (NPI 1790199438) is an individual dentist in Fitchburg, Massachusetts, licensed in Massachusetts (DN1856608) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790199438

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. DIMITRI SAMARATUNGACredential: DMD

Location Address130 WATER STFitchburg, MA 01420-5478

Mailing Address130 Water StFitchburg, MA 01420-5478 · (978) 342-8500

Phone(978) 342-8500

Sole ProprietorNo

Enumeration DateJune 19, 2014

✔ NPI 1790199438 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in MA · DN1856608

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Also ListedDentist · General PracticeTaxonomy 1223G0001X · License DN1856608 (MA)

130 WATER ST, Fitchburg, MA 01420

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Dimitri Samaratunga 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01420 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 14

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

SHIVENDER BENIWAL

Dentist (General Practice)