Kentaro Ikeda, DDS in Boston, MA - Medicare Dentist Provider

Kentaro Ikeda, DDS is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" provider in Boston, Massachusetts. He graduated from medical school in 1999 and has 27 years of diverse experience with area of expertise as Dentist. He is a member of the group practice Dana-farber Cancer Institute, Inc., Brigham And Womens Physicians Organization Inc, Brigham And Womens Hospital Inc and his current practice location is 15 Parkman St, Boston, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (617) 726-7240.

Kentaro Ikeda is licensed to practice in Massachusetts (license number DF11935) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1467582577.

Contact Information

	Kentaro Ikeda, DDS
	15 Parkman St, Boston, MA 02114-3117
	(617) 726-7240
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kentaro Ikeda
Gender	Male
Speciality	Dentist
Experience	27 Years
Location	15 Parkman St, Boston, Massachusetts
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kentaro Ikeda graduated from medical school in 1999

NPI Data:

NPI Number: 1467582577
Provider Enumeration Date: 03/07/2007
Last Update Date: 04/24/2026

Medicare PECOS Information:

PECOS PAC ID: 5092090860
Enrollment ID: I20210407002512

Medical Identifiers

Medical identifiers for Kentaro Ikeda such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1467582577	NPI	-	NPPES
38820064	Medicaid	CO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223S0112X	Dentist - Oral And Maxillofacial Surgery	DF11935 (Massachusetts)	Primary
122300000X	Dentist	150533 (North Carolina)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Brigham And Women's Hospital	Boston, MA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Dana-farber Cancer Institute, Inc.	9133038904	671
Brigham And Womens Physicians Organization Inc	3870405988	2919
Brigham And Womens Hospital Inc	4385554732	57

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kentaro Ikeda allows following entities to bill medicare on his behalf.

Entity Name	Dana-farber Cancer Institute, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851333686 PECOS PAC ID: 9133038904 Enrollment ID: O20040223000228

Entity Name	Brigham & Womens Hospital Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790717650 PECOS PAC ID: 4385554732 Enrollment ID: O20040407000771

Entity Name	Brigham & Womens Physicians Organization Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033535497 PECOS PAC ID: 3870405988 Enrollment ID: O20150107001260

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kentaro Ikeda is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kentaro Ikeda, DDS 13065 E 17th Ave, Mail Stop F844, Aurora, CO 80045-2532 Ph: (303) 724-9584	Kentaro Ikeda, DDS 15 Parkman St, Boston, MA 02114-3117 Ph: (617) 726-7240

Reviews and Comments

Dentist in Boston, MA

Dr. Rocio Saavedra, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1 Kneeland St, Boston, MA 02111 Phone: 617-636-6971
Armida Dano, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 635 Tremont St, Boston, MA 02118 Phone: 617-424-0606
Dr. Jeffrey Brian Reardon, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 300 Longwood Ave # Hu226, Boston, MA 02115 Phone: 617-355-4426
Jacob Fortenberry, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 635 Albany St, Boston, MA 02118 Phone: 601-278-0923
Ahmad Muneer Ahmad Ismail, Dentist Medicare: Not Enrolled in Medicare Practice Location: 635 Albany Street, Boston, MA 02118 Phone: 617-358-8300
Thitaya Chaiboonyarak, Dentist Medicare: Not Enrolled in Medicare Practice Location: 100 E Newton St, Boston, MA 02118 Phone: 617-358-8300
Dr. Richard Rothstein, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 274 Newbury St, Boston, MA 02116 Phone: 617-262-0106

Kentaro Ikeda, DDS - Medicare Dentist in Boston, MA