The Dimock Center - Medicare Primary Care in Roxbury, MA

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The Dimock Center is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Roxbury, Massachusetts. The current practice location for The Dimock Center is 45 Dimock St, Roxbury, Massachusetts. For appointments, you can reach them via phone at (617) 442-8800. The mailing address for The Dimock Center is 55 Dimock St, Roxbury, Massachusetts and phone number is (617) 442-8800.

The Dimock Center is licensed to practice in Massachusetts (license number ). The clinic also participates in the medicare program and its NPI number is 1588719488. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (617) 442-8800.

Contact Information

The Dimock Center
45 Dimock St
Roxbury
MA 02119-1208
(617) 442-8800
(617) 442-4088

Map and Direction


Primary Care Clinic Profile

Full NameThe Dimock Center
SpecialityClinic/Center
Location45 Dimock St, Roxbury, Massachusetts
Authorized Official Name and PositionPeter Gerondeau (CFO/SVP)
Authorized Official Contact6174428800
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
The Dimock Center
55 Dimock St
Roxbury
MA 02119-1029

Ph: (617) 442-8800		The Dimock Center
45 Dimock St
Roxbury
MA 02119-1208

Ph: (617) 442-8800

NPI Details:

NPI Number1588719488
Provider Enumeration Date01/24/2007
Last Update Date11/20/2019

Medicare PECOS Information:

Medicare PECOS PAC ID7012810492
Medicare Enrollment IDO20040202000242

Medical Identifiers

Medical identifiers for The Dimock Center such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1588719488NPI-NPPES
1301144MedicaidMA
221862OtherMAMEDICARE UGS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) (Massachusetts)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. The Dimock Center acts as a billing entity for following providers:
Provider NameBonny C Nothern
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538194865
PECOS PAC ID: 6204895386
Enrollment ID: I20041005000652
Provider NameKimberly T Thurmond
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1376557942
PECOS PAC ID: 2961463583
Enrollment ID: I20041026000651
Provider NameChristopher S Lathan
Provider TypePractitioner - Medical Oncology
Provider IdentifiersNPI Number: 1295713048
PECOS PAC ID: 2466408307
Enrollment ID: I20050324000055
Provider NameClara Y Jones
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1669534418
PECOS PAC ID: 5496792384
Enrollment ID: I20050412001165
Provider NameLisa J Gruenberg
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1528292232
PECOS PAC ID: 8224078720
Enrollment ID: I20050504000431
Provider NameBenjamin A Quamina
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1831146539
PECOS PAC ID: 8022907328
Enrollment ID: I20050512000182
Provider NameJohn R Roberts
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558346296
PECOS PAC ID: 9830135607
Enrollment ID: I20050701000203
Provider NameNandini Sengupta
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1578513123
PECOS PAC ID: 6305882762
Enrollment ID: I20050707000378
Provider NameMelanie A Baker
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1598894719
PECOS PAC ID: 7719993039
Enrollment ID: I20060223000676
Provider NameMyechia Minter Jordan
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1497705628
PECOS PAC ID: 6507858149
Enrollment ID: I20071018000157
Provider NameElizabeth Parlee
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1528232907
PECOS PAC ID: 5193804938
Enrollment ID: I20080506000364
Provider NameEstella Escobar
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1659443018
PECOS PAC ID: 5193879161
Enrollment ID: I20090811000422
Provider NameBela Bashar
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1003944604
PECOS PAC ID: 0244360675
Enrollment ID: I20100611000266
Provider NameHolly Oh
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1063497311
PECOS PAC ID: 4284765744
Enrollment ID: I20100627000017
Provider NameMarjorie Anne Janvier
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1598931628
PECOS PAC ID: 0042494379
Enrollment ID: I20110412000462
Provider NameSusana Lourdes Tejada
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1003118225
PECOS PAC ID: 0244413847
Enrollment ID: I20110601000742
Provider NameMichael Tang
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1598932097
PECOS PAC ID: 8729259197
Enrollment ID: I20110914000720
Provider NameNicole D Pogue
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1710241864
PECOS PAC ID: 4183874399
Enrollment ID: I20121024000817
Provider NameChukwuemeka C Nwanze
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1043415607
PECOS PAC ID: 1456594464
Enrollment ID: I20130823000269
Provider NameDanielle D Grimm
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487902979
PECOS PAC ID: 4880813559
Enrollment ID: I20140910002072
Provider NameKetura'h Renee Edwards
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467887471
PECOS PAC ID: 4688991953
Enrollment ID: I20150325001622
Provider NameMichael D Schreiber
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437566114
PECOS PAC ID: 8426375528
Enrollment ID: I20150331000248
Provider NameGrant Charlton Butler
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437525102
PECOS PAC ID: 0941504997
Enrollment ID: I20160211000996
Provider NameRachel Preiss
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134379753
PECOS PAC ID: 9739231747
Enrollment ID: I20160225002485
Provider NameDavid G Pattison
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1720198351
PECOS PAC ID: 2264440494
Enrollment ID: I20160226000961
Provider NameJenny Chu
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1225404783
PECOS PAC ID: 2163727116
Enrollment ID: I20160229002230
Provider NameMaryann B Wilbur
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1114218989
PECOS PAC ID: 7810294485
Enrollment ID: I20160324001994
Provider NameSamantha Baras
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1548522980
PECOS PAC ID: 3476707506
Enrollment ID: I20160714000888
Provider NameKatherine C Dolan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447682356
PECOS PAC ID: 1153619663
Enrollment ID: I20161017002124
Provider NameRoshni Gustad Daver
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1316297146
PECOS PAC ID: 5991083750
Enrollment ID: I20161028001282
Provider NameJeffrey K Ho
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1124480520
PECOS PAC ID: 2860771516
Enrollment ID: I20161121000637
Provider NameAlice Han
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1205289634
PECOS PAC ID: 1658650353
Enrollment ID: I20161121002422
Provider NameKathryn Adele Kochan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417159898
PECOS PAC ID: 9234419342
Enrollment ID: I20161207001530
Provider NameRisha De Leon
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1033306766
PECOS PAC ID: 5698055580
Enrollment ID: I20161212001432
Provider NameKristen L Kerber
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1215479704
PECOS PAC ID: 4486936705
Enrollment ID: I20170123000755
Provider NameAbby Samantaha Tang
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1538542956
PECOS PAC ID: 7810204047
Enrollment ID: I20170124000262
Provider NameShireen Omar Khan
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1083085062
PECOS PAC ID: 4284934860
Enrollment ID: I20170223000036
Provider NameOlivia Amadon
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1174987804
PECOS PAC ID: 0547546566
Enrollment ID: I20170405002211
Provider NameRose Molina
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1467741231
PECOS PAC ID: 5890952238
Enrollment ID: I20170526001114
Provider NameJagriti Upadhyay
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1205148095
PECOS PAC ID: 6901025113
Enrollment ID: I20170607000538
Provider NameKathleen A. Nopper
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558604975
PECOS PAC ID: 7113295312
Enrollment ID: I20170612002303
Provider NameFuensanta Vera-diaz
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1871922302
PECOS PAC ID: 9739458027
Enrollment ID: I20170629001317
Provider NameNaa-dei Kotey
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1659786135
PECOS PAC ID: 5496026916
Enrollment ID: I20170802000655
Provider NameMichael C Santos
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1124474317
PECOS PAC ID: 7719264548
Enrollment ID: I20170912000331
Provider NameMichael P Cianca
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1649798620
PECOS PAC ID: 0941573034
Enrollment ID: I20170912002668
Provider NameJai Hyun Nam
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1538699475
PECOS PAC ID: 6608142245
Enrollment ID: I20171025002906
Provider NameGillian Bernstein
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770072258
PECOS PAC ID: 6901153568
Enrollment ID: I20180727001872
Provider NameJevae Leniece Nelson
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1225527914
PECOS PAC ID: 3072861905
Enrollment ID: I20180808002581
Provider NameSelena Maria Francis
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1083108922
PECOS PAC ID: 6103176938
Enrollment ID: I20180829000645
Provider NameClare Viglione
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1699244376
PECOS PAC ID: 9830437367
Enrollment ID: I20190208000121
Provider NameJoanna M Packer
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1831615897
PECOS PAC ID: 6800129081
Enrollment ID: I20190603000534
Provider NameNikita Aneja
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1861984031
PECOS PAC ID: 5597014977
Enrollment ID: I20191031002915
Provider NameMarie C Victor
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003307596
PECOS PAC ID: 4688004443
Enrollment ID: I20200417001653
Provider NameKristie Michelle Grimes-mallard
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730797077
PECOS PAC ID: 6709205461
Enrollment ID: I20200929002571
Provider NameJoelle Grace Sulistio
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104440908
PECOS PAC ID: 9436578036
Enrollment ID: I20201001000588
Provider NameJonathan Foster-moore
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790394096
PECOS PAC ID: 4082034665
Enrollment ID: I20201020003648
Provider NameHoda Hamed
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1063022028
PECOS PAC ID: 3476964586
Enrollment ID: I20201120002229
Provider NameFirdose Basha Kamal Basha
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1407344914
PECOS PAC ID: 9739421306
Enrollment ID: I20210511002359
Provider NameJulianne E Elofson
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1598293367
PECOS PAC ID: 1153694369
Enrollment ID: I20210518001682
Provider NameMichele L Newman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184238438
PECOS PAC ID: 4183023948
Enrollment ID: I20210621000632
Provider NameFrancine Zhou
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1154988095
PECOS PAC ID: 0941632962
Enrollment ID: I20210721002684
Provider NameMadeline Fullerton
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1528732500
PECOS PAC ID: 2365847050
Enrollment ID: I20210818001697
Provider NameTiffany Ann Meier
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1891292207
PECOS PAC ID: 0547665887
Enrollment ID: I20210824002619
Provider NameTrinley Gongya
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1487149530
PECOS PAC ID: 3971909516
Enrollment ID: I20210908001218
Provider NameJacqueline Rochelle Harris
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1326613266
PECOS PAC ID: 0446656870
Enrollment ID: I20210909001429
Provider NameDaniele Sebastiano Restifo
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1336639426
PECOS PAC ID: 1951659846
Enrollment ID: I20210909001965
Provider NameEmily Lauren Kellogg
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1053841171
PECOS PAC ID: 1355614546
Enrollment ID: I20210910001984
Provider NameShaina Henriquez
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1043748254
PECOS PAC ID: 6507271251
Enrollment ID: I20210921002889
Provider NameSundus Mari
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1821437914
PECOS PAC ID: 1850798331
Enrollment ID: I20210927000669
Provider NameMadiop Diouf
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578109856
PECOS PAC ID: 0143611863
Enrollment ID: I20220106001061
Provider NameAmanda Singerman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881264745
PECOS PAC ID: 2860884343
Enrollment ID: I20220112002066
Provider NameKaitlyn N Sanders
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598426421
PECOS PAC ID: 8224425954
Enrollment ID: I20220428000593
Provider NameKhaled Mohamed Asaad
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1295296671
PECOS PAC ID: 3173900479
Enrollment ID: I20220505002300
Provider NameAdeyemi Adeniyi
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780238659
PECOS PAC ID: 6800296153
Enrollment ID: I20220907000773
Provider NameOmer Elrayah
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1699410936
PECOS PAC ID: 0244606432
Enrollment ID: I20221012003092
Provider NameMoyosola Afolabi
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1689308835
PECOS PAC ID: 6204203490
Enrollment ID: I20221101000358
Provider NameAlyssa Lancaster
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1912572397
PECOS PAC ID: 7416359773
Enrollment ID: I20221103001089
Provider NameJennifer Ashley Lowe
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1497495113
PECOS PAC ID: 6800260894
Enrollment ID: I20230314001468
Provider NameJason Shem Cummins
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1730818832
PECOS PAC ID: 9133580053
Enrollment ID: I20230725002420
Provider NameCarolina Gomez-angulo
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1255011649
PECOS PAC ID: 1254794647
Enrollment ID: I20230901001036
Provider NameArmen Balabanyan
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1437871043
PECOS PAC ID: 2668826389
Enrollment ID: I20230929000917
Provider NameEmma Kavanaugh Blackwell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760261135
PECOS PAC ID: 2062867211
Enrollment ID: I20231009002179
Provider NameYessica Labour Aguasvivas
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427738533
PECOS PAC ID: 1557716511
Enrollment ID: I20231011000743
Provider NameJamie Rae Weisenberg
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1396464574
PECOS PAC ID: 5193173466
Enrollment ID: I20231127002300
Provider NameAna Rute Bloch Muradas
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1083192413
PECOS PAC ID: 8527416890
Enrollment ID: I20231127002382

Reviews and Comments


Clinic/Center in Roxbury, MA

Dimock Comunity Health Center
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1800 Columbus Ave, Roxbury, MA 02119
Phone: 617-442-8800    Fax: 617-442-6762
The Dimock Center
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 55 Dimock St, Credentialing Office, Roxbury, MA 02119
Phone: 617-442-8800    Fax: 617-427-2784
Bhchp Family Care Clinic
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 1785 Columbus Ave, Roxbury, MA 02119
Phone: 857-654-1227    
Dr. Bernard Scott Psychotherapy Inc.
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 198 Highland St, Suite 1, Roxbury, MA 02119
Phone: 617-543-0655    Fax: 617-442-5895
Roxbury Comprehensive Community Health Center, Inc.
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 435 Warren St, Roxbury, MA 02119
Phone: 617-442-7400    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.