SHANKAR RENGASAMY VENUGOPALAN BDS, DDS, DMSC, PHD
NPI 1831486356
Dentist - Orthodontics and Dentofacial Orthopedics in Boston, MA

Active since July 05, 2011PECOS Enrolled
1 KNEELAND ST FL 11, BOSTON, MA 02111(617) 636-6887(617) 636-0402 Get Directions Write a Review

NPPES record last updated: February 16, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Shankar Rengasamy Venugopalan Bds, Dds, Dmsc, Phd NPPES

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

SHANKAR RENGASAMY VENUGOPALAN BDS, DDS, DMSC, PHD (NPI 1831486356) is an individual orthodontics and dentofacial orthopedics provider in Boston, Massachusetts, licensed in Massachusetts (DN1859679) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1831486356
Entity TypeIndividualMale
Primary Taxonomy1223X0400X
Provider Legal NameSHANKAR RENGASAMY VENUGOPALANCredential: BDS, DDS, DMSC, PHD
Location Address1 KNEELAND ST FL 11Boston, MA 02111-1527
Mailing Address1 Kneeland St Fl 11Boston, MA 02111-1527 · (617) 636-6887 · Fax (617) 636-0402
Fax(617) 636-0402
Sole ProprietorNo
Enumeration DateJuly 5, 2011
Last NPPES UpdateFebruary 16, 2024
NPPES CertifiedFebruary 16, 2024
NPI 1831486356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
Licenses Licensed in MA · DN1859679 Licensed in IA · 40187
Definition

That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.

1 KNEELAND ST FL 11, Boston, MA 02111

Accepted 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)

Shankar Rengasamy Venugopalan Bds, Dds, Dmsc, Phd 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 02111 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 11

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

Student in an Organized Health Care Education/Training Program
1 KNEELAND ST FL 11
BOSTON, MA 02111
Dentist (Endodontics)
1 KNEELAND ST FL 11
BOSTON, MA 02111
Dentist (Orthodontics and Dentofacial Orthopedics)
1 KNEELAND ST FL 11
BOSTON, MA 02111
Dentist (Endodontics)
1 KNEELAND ST FL 11
BOSTON, MA 02111
Dentist (Orthodontics and Dentofacial Orthopedics)
1 KNEELAND ST FL 11
BOSTON, MA 02111
Dentist
1 KNEELAND ST FL 11
BOSTON, MA 02111
Dentist
1 KNEELAND ST FL 11
BOSTON, MA 02111
Dentist
1 KNEELAND ST FL 11
BOSTON, MA 02111

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1831486356, enumerated as an "individual" on July 05, 2011.

The provider is located at 1 KNEELAND ST FL 11 BOSTON, MA 02111 and the phone number is (617) 636-6887.

Dentist with taxonomy code 1223X0400X and a focus in Orthodontics and Dentofacial Orthopedics.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Sheld, Anthem Blue. Please consult your insurance carrier or call the provider to verify.