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DR. SANJAY REDDY BOMMU D.M.D
NPI 1821429614
Dentist - General Practice in Gardner, MA

Active since December 05, 2013PECOS Enrolled
49 CROSS STREET EXT, GARDNER, MA 01440(978) 632-5659(978) 632-5713 Get Directions Write a Review

NPPES record last updated: December 5, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Sanjay Reddy Bommu D.m.d NPPES

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

DR. SANJAY REDDY BOMMU D.M.D (NPI 1821429614) is an individual general practice provider in Gardner, Massachusetts, licensed in Massachusetts (DN1856434) and active in the NPI registry since December 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821429614
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. SANJAY REDDY BOMMUCredential: D.M.D
Location Address49 CROSS STREET EXTGardner, MA 01440-2209
Mailing Address49 Cross Street ExtGardner, MA 01440-2209 · (978) 632-5659 · Fax (978) 632-5713
Phone(978) 632-5659
Fax(978) 632-5713
Sole ProprietorNo
Enumeration DateDecember 5, 2013
✔ NPI 1821429614 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 · DN1856434
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.
49 CROSS STREET EXT, Gardner, MA 01440
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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. Sanjay Reddy Bommu D.m.d 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 01440 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 2

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

JAVAD MIRZAI DMD PLLC
Dentist (General Practice)
49 CROSS STREET EXT
GARDNER, MA 01440
Worcester County (617) 877-5884
GARDNER DENTAL GROUP
Dentist (General Practice)
49 CROSS STREET EXT
GARDNER, MA 01440
Worcester County (978) 632-5659

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 Sanjay Bommu's NPI number?

The NPI number for Sanjay Bommu is 1821429614. It was assigned to this individual provider in the NPPES registry on December 5, 2013.

Where is Sanjay Bommu located?

Sanjay Bommu practices at 49 Cross Street Ext, Gardner, MA 01440. The listed phone number is (978) 632-5659.

What is Sanjay Bommu's specialty?

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

Is Sanjay Bommu enrolled in Medicare?

Yes. Sanjay Bommu is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sanjay Bommu was last updated on December 5, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.