1. Home
  2. Directory
  3. Massachusetts
  4. Quincy
  5. Specialist
  6. NPI Profile

RAFFI DERSARKISSIAN MD
NPI 1942234091
Specialist in Quincy, MA

Active since July 11, 2006PECOS Enrolled
500 CONGRESS ST, SUITE 2A, QUINCY, MA 02169(781) 682-9009(781) 682-0300 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Raffi Dersarkissian Md NPPES

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

RAFFI DERSARKISSIAN MD (NPI 1942234091) is an individual specialist in Quincy, Massachusetts, licensed in Massachusetts (MA150911) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942234091
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameRAFFI DERSARKISSIANCredential: MD
Location Address500 CONGRESS ST, SUITE 2AQuincy, MA 02169-0908
Mailing Address500 Congress St, Suite 2aQuincy, MA 02169-0908 · (781) 682-9009 · Fax (781) 682-0300
Phone(781) 682-9009
Fax(781) 682-0300
Sole ProprietorYes
Enumeration DateJuly 11, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1942234091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in MA · MA150911
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

500 CONGRESS ST, Quincy, MA 02169
Open in Google Maps ↗

Other Identifiers 3

Medicare UPINF89460MA
Medicaid3152391MA
Medicare ID-Type UnspecifiedA21356MA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Raffi Dersarkissian 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.

Other Providers at the Same Location NPPES 20

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

DR. LISA BRANCATO CORKINS MD
Pediatrics
500 CONGRESS ST, SUITE 1F
QUINCY, MA 02169
Norfolk County (617) 471-3411
NOPSARAN CHAIMATTAYOMPOL, DMD, PC
Dentist (General Practice)
500 CONGRESS ST, SUITE#3E
QUINCY, MA 02169
Norfolk County (617) 328-0693
DR. BARBARA NANKIN DMD
Dentist (General Practice)
500 CONGRESS ST, SUITE 2D
QUINCY, MA 02169
Norfolk County (617) 471-9444
MRS. LINDA COLLINS M.A., CCC-A
Audiologist
500 CONGRESS ST
QUINCY, MA 02169
Norfolk County (617) 376-8840
DR. RIZKALLA A. MOUCHATI MD
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
500 CONGRESS ST, SUITE 1H
QUINCY, MA 02169
Norfolk County (617) 786-0066
GUY SPINELLI M.D.
Internal Medicine
500 CONGRESS ST, 3RD FLOOR
QUINCY, MA 02169
Norfolk County (617) 471-0033
ROBERT SALZMAN M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
500 CONGRESS ST, 3RD FLOOR
QUINCY, MA 02169
Norfolk County (617) 471-0033
DR. GENEVIEVE B BRODERICK M.D.
Surgery (Plastic and Reconstructive Surgery)
500 CONGRESS ST, SUITE B1
QUINCY, MA 02169
Norfolk County (617) 472-6764

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 Raffi Dersarkissian's NPI number?

The NPI number for Raffi Dersarkissian is 1942234091. It was assigned to this individual provider in the NPPES registry on July 11, 2006.

Where is Raffi Dersarkissian located?

Raffi Dersarkissian practices at 500 Congress St Suite 2A, Quincy, MA 02169. The listed phone number is (781) 682-9009.

What is Raffi Dersarkissian's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Raffi Dersarkissian enrolled in Medicare?

Yes. Raffi Dersarkissian is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Raffi Dersarkissian was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.