DR. SUMEET SAXENA DDS
NPI 1962527150
Dentist in Hadley, MA

Active since March 20, 2007Opted out of Medicare · through Jan 9, 2027
138 RUSSELL ST, HADLEY, MA 01035(413) 584-6275 Get Directions Write a Review

NPPES record last updated: June 14, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Sumeet Saxena Dds NPPES

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

DR. SUMEET SAXENA DDS (NPI 1962527150) is an individual dentist in Hadley, Massachusetts, licensed in Massachusetts (DN22332) and active in the NPI registry since March 2007. He has opted out of Medicare through January 9, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1962527150
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. SUMEET SAXENACredential: DDS
Location Address138 RUSSELL STHadley, MA 01035-9533
Mailing Address13224 Patriot WayWest Greenwich, RI 02817-6012 · (973) 687-5542
Sole ProprietorNo
Enumeration DateMarch 20, 2007
Last NPPES UpdateJune 14, 2012
NPI 1962527150 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses Licensed in MA · DN22332 Licensed in PA · DS036954 Licensed in RI · DEN03029
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.

138 RUSSELL ST, Hadley, MA 01035

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Sumeet Saxena Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 9, 2019 through January 9, 2027.

Opt-Out Effective DateJanuary 9, 2019
Opt-Out In Effect ThroughJanuary 9, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01035 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 5

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

Dentist
138 RUSSELL ST
HADLEY, MA 01035
General Practice
138 RUSSELL ST
HADLEY, MA 01035
Dentist (General Practice)
138 RUSSELL ST
HADLEY, MA 01035
Dentist
138 RUSSELL ST
HADLEY, MA 01035
Dentist
138 RUSSELL ST
HADLEY, MA 01035

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 Sumeet Saxena's NPI number?

The NPI number for Sumeet Saxena is 1962527150. It was assigned to this individual provider in the NPPES registry on March 20, 2007.

Where is Sumeet Saxena located?

Sumeet Saxena practices at 138 Russell St, Hadley, MA 01035. The listed phone number is (413) 584-6275.

What is Sumeet Saxena's specialty?

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

Is Sumeet Saxena enrolled in Medicare?

No. Sumeet Saxena has opted out of Medicare through January 9, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Sumeet Saxena 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 5 other insurers list Sumeet Saxena 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 Sumeet Saxena was last updated on June 14, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.