Somashekar R Mahesh Sajjupalli, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22178 Issued in MA

Practice address

62 Fox St
Fitchburg, MA 01420-3261

Phone

(978) 343-3437

NPI assigned

Jun 30, 2008

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Mahesh Sajjupalli Other name

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437436800000",
    "number": "1053573113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 FOX ST",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014203261",
            "telephone_number": "978-343-3437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 FOX ST",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014203261",
            "telephone_number": "978-343-3437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAJJUPALLI",
        "first_name": "SOMASHEKAR R MAHESH",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-30",
        "last_updated": "2015-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "22178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAHESH",
            "last_name": "SAJJUPALLI",
            "credential": "DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jeannette L Ryan Alkasab, M.D.
• Doris Louise Ryan, A.C.S.W., L.I.C.S.W.
• Kim Elizabeth Sablock
• Annette Catherine Saddler
• Alicia Sagastume, B.A.
• Rosilver Salcedo, LCSW
• Jonathan Sallila
• Lisa Salvi, MA; BS
• Nikita Salwan, DMD
• Rebecca Susan Samara, MA

• General Practice Dentistry in Fitchburg, MA
• Providers in Fitchburg, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.