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Bassel Boulos

Dentist - General Practice • Roxbury, MA

Active NPI 1467902155 Individual Practitioner Male Practitioner
Practice location in NPPES

1290 Tremont St
Roxbury, MA 021203432

Call 6174271000 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1290 Tremont St

Roxbury, MA 021203432

Telephone 6174271000
Organization at the Same NPPES Address or Phone
Whittier Street Health Center Pharmacy Facility NPI 1912674417

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

What Public CMS Data Show

Dentist - General Practice: NPPES taxonomy is a reported classification, not proof of board certification.

Industry payments (Open Payments)

Fewer than 11 payment records totaling $20.42 in 2025

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2025.

Guide: How to read an Open Payments record

NPI first issued

2016

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Roxbury and Massachusetts

15 active clinicians are listed under Dentist - General Practice with a practice address in Roxbury, MA (3,491 in Massachusetts).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Roxbury

0% of these 15 clinicians have the CMS telehealth indicator.

0% of these 15 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments · Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $20.42.

Manufacturer Payment Nature Product Type Amount ($)
Solventum Corporation
Food and Beverage
Cash or cash equivalent
3M ESPE Filtek Supreme Ultra Universal Restorative General $20.42

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Specialties & License Numbers Reported to NPPES

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

License # reported to NPPES NH 04520

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Massachusetts Board of Registration in Medicine.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

17 listed
Sherar Andalcio

Family Medicine

NPI 1902243074
Dr. Alyssa Bacay , DO

Internal Medicine - Infectious Disease

NPI 1205456274

Doctor of Osteopathic Medicine (D.O.)

Rosemarie Glaude , FNP

Nurse Practitioner - Family

NPI 1588312367

Family Nurse Practitioner

Jasmine Haque-Ahmed

Nurse Practitioner - Family

NPI 1003457763
Dr. Laura Holland , MD

Obstetrics & Gynecology

NPI 1285825406

Doctor of Medicine (M.D.)

Lindsay Hussey , RNNP

Nurse Practitioner - Gerontology

NPI 1235547613

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
📍
Updated Business Mailing Address September 20, 2019

Registered at 100 BRIDGE ST, PELHAM, NH 030763422 (Tel: 6039314698)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 20, 2019

Dentist (license number reported to NPPES: NH 04520)

✅
NPI Profile Active October 06, 2016

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) October 06, 2016

Registered at 1290 TREMONT ST, ROXBURY, MA 021203432 (Tel: 6174271000)

📍
Business Mailing Address (Initial Record) October 06, 2016

Registered at 1290 TREMONT ST, ROXBURY, MA 021203432 (Tel: 6174271000)

👤
Provider Name / Credentials (Initial Record) October 06, 2016

Recorded as BASSEL BOULOS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 06, 2016

Dentist (license number reported to NPPES: MA DL13115)

🟢
Initial NPI Registration & Enumeration October 06, 2016

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1467902155
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 06, 2016
Last Update: September 20, 2019
Sole Proprietor: No

Other Dentist - General Practices in Roxbury

Mailing Address

100 Bridge St

Pelham, NH 030763422

Phone: 6039314698

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.