Dimock Community Health Center, Inc - Medicare Primary Care in Roxbury, MA

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

Dimock Community Health Center, Inc 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

Dimock Community Health Center, Inc
45 Dimock St
Roxbury
MA 02119-1208
(617) 442-8800
(617) 442-4088

Map and Direction


Primary Care Clinic Profile

Full NameDimock Community Health Center, Inc
SpecialityClinic/Center
Location45 Dimock St, Roxbury, Massachusetts
Authorized Official Name and PositionJunior Luis Rivera (CFO)
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
Dimock Community Health Center, Inc
55 Dimock St
Roxbury
MA 02119-1029

Ph: (617) 442-8800		Dimock Community Health Center, Inc
45 Dimock St
Roxbury
MA 02119-1208

Ph: (617) 442-8800

NPI Details:

NPI Number1588719488
Provider Enumeration Date01/24/2007
Last Update Date08/07/2025

Medicare PECOS Information:

Medicare PECOS PAC ID7012810492
Medicare Enrollment IDO20040202000242

Medical Identifiers

Medical identifiers for Dimock Community Health Center, Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1588719488NPI-NPPES
1301144MedicaidMA

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. Dimock Community Health Center, Inc acts as a billing entity for following providers:
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 NameBenjamin A Quamina
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1831146539
PECOS PAC ID: 8022907328
Enrollment ID: I20050512000182
Provider NameLeslie B Washburn
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053365205
PECOS PAC ID: 4486678976
Enrollment ID: I20060124000236
Provider NameMonera B Wong
Provider TypePractitioner - Geriatric Medicine
Provider IdentifiersNPI Number: 1518927581
PECOS PAC ID: 2163439589
Enrollment ID: I20060309000559
Provider NameDavid S Yassa
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1013951656
PECOS PAC ID: 8820092802
Enrollment ID: I20060905000554
Provider NameAlex I Varghese
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1679788657
PECOS PAC ID: 4385712991
Enrollment ID: I20081009000532
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 NameMarjorie Anne Janvier
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1598931628
PECOS PAC ID: 0042494379
Enrollment ID: I20110412000462
Provider NameNicole D Pogue
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1710241864
PECOS PAC ID: 4183874399
Enrollment ID: I20121024000817
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 NameKira Armajani
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1326395435
PECOS PAC ID: 8921328667
Enrollment ID: I20150521000390
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 NameSamantha Baras
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1548522980
PECOS PAC ID: 3476707506
Enrollment ID: I20160714000888
Provider NameAissatou Gueye
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1972966216
PECOS PAC ID: 2365735925
Enrollment ID: I20160720001678
Provider NameJeffrey K Ho
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1124480520
PECOS PAC ID: 2860771516
Enrollment ID: I20161121000637
Provider NameKristen L Kerber
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1215479704
PECOS PAC ID: 4486936705
Enrollment ID: I20170123000755
Provider NameRose Molina
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1467741231
PECOS PAC ID: 5890952238
Enrollment ID: I20170526001114
Provider NameEvan Bradley Russell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1639626898
PECOS PAC ID: 6709152838
Enrollment ID: I20171018000068
Provider NameChristopher Mulvey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447612684
PECOS PAC ID: 9830458892
Enrollment ID: I20180119000622
Provider NameGillian Bernstein
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770072258
PECOS PAC ID: 6901153568
Enrollment ID: I20180727001872
Provider NameSelena Maria Francis
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1083108922
PECOS PAC ID: 6103176938
Enrollment ID: I20180829000645
Provider NameNikita Aneja
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1861984031
PECOS PAC ID: 5597014977
Enrollment ID: I20191031002915
Provider NameKristie Michelle Grimes-mallard
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730797077
PECOS PAC ID: 6709205461
Enrollment ID: I20200929002571
Provider NameJonathan Foster-moore
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790394096
PECOS PAC ID: 4082034665
Enrollment ID: I20201020003648
Provider NameFirdose Basha Kamal Basha
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1407344914
PECOS PAC ID: 9739421306
Enrollment ID: I20210511002359
Provider NameEmily Lauren Kellogg
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1053841171
PECOS PAC ID: 1355614546
Enrollment ID: I20210910001984
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 NameJudana Sandra Bennett
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073130167
PECOS PAC ID: 1850772021
Enrollment ID: I20220719002531
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 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 NameAna Rute Bloch Muradas
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1083192413
PECOS PAC ID: 8527416890
Enrollment ID: I20231127002382
Provider NameAmanda Blomberg-faura
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1659707305
PECOS PAC ID: 9638521842
Enrollment ID: I20240123002662
Provider NameAveryl Nyra D Narvasa
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992492250
PECOS PAC ID: 1355788290
Enrollment ID: I20240327001107
Provider NameTemitope Aisha Oshilaja
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1376392399
PECOS PAC ID: 3971035932
Enrollment ID: I20241015002538
Provider NameRola Ghabrah
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1124791447
PECOS PAC ID: 3476085416
Enrollment ID: I20241016001384
Provider NameAnn-victoria Isaac
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1114618691
PECOS PAC ID: 5890229561
Enrollment ID: I20241118001925
Provider NameDominique Grace Metayer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740939099
PECOS PAC ID: 1759818305
Enrollment ID: I20241220002818
Provider NameMusstafa M Alhussain
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1144980038
PECOS PAC ID: 4789020686
Enrollment ID: I20241223000325
Provider NameMeghan Sue
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1831962554
PECOS PAC ID: 6709236391
Enrollment ID: I20250106003102
Provider NameEmily Restrepo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497443733
PECOS PAC ID: 2466979422
Enrollment ID: I20250505000731

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
Dimock Community Health 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
Boston Health Care For The Homeless Program, Inc.
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.