Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1104807163 Deactivated / Inactive NPI Male Practitioner

Dr. Anthony M Sordillo , DMD

Dentist • Boston, MA

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Anthony Sordillo has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 08, 2005
NPI Deactivation Date January 28, 2022
Total Practice Duration ~17 Years of Practice (2005 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Anthony Sordillo, DMD was a registered Dentist practicing in Boston, MA. Throughout an active medical career spanning 17 years, Dr. Sordillo provided care at the practice location at 243 CHARLES ST until profile deactivation on 2022-01-28.

Historical Medicare Part B clinical services included anesthesia for lens surgery, anesthesia for retinal surgery, anesthesia for procedure on eye. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

243 Charles St

Boston, MA 021143002

Telephone 6175733378
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Boston, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.9 Yrs
State Avg: 18.4 Yrs
Regional Practice Density
750 Specialists

Practicing in Boston, MA (3030 Statewide)

Telehealth Adoption Rate
0.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
85.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2017)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
00142 Anesthesia for lens surgery
237 219 $506.95 $72.46
00145 Anesthesia for retinal surgery
56 55 $933.68 $139.16
00140 Anesthesia for procedure on eye
50 48 $737.88 $107.85
00142 Anesthesia for lens surgery
44 44 $600.36 $86.50
00140 Anesthesia for procedure on eye
19 19 $910.00 $130.08
00103 Anesthesia for procedure on eyelid
16 16 $750.75 $108.12
00144 Anesthesia for procedure on eye for corneal transplant
14 13 $874.71 $123.72
00145 Anesthesia for retinal surgery
13 13 $1146.00 $173.88

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License MA 1326820A

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

23 Associated Practitioners
Dr. Lily Tabbal , MD

Anesthesiology

NPI 1073594396

Doctor of Medicine (M.D.)

Michael Bekcerman , CRNA

Nurse Anesthetist, Certified Registered

NPI 1073667895

Certified Registered Nurse Anesthetist

NPI 1134100191

Doctor of Medicine (M.D.)

Lucile Hoshino , CRNA

Nurse Anesthetist, Certified Registered

NPI 1154467710

Certified Registered Nurse Anesthetist

Russell Milnes , CRNA

Nurse Anesthetist, Certified Registered

NPI 1235283086

Certified Registered Nurse Anesthetist

NPI 1265696421

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
⚠️
NPI Profile Deactivated January 28, 2022

Record deactivated on January 28, 2022

NPI Profile Active January 30, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location January 30, 2014

Registered at 243 CHARLES ST, BOSTON, MA 021143002 (Tel: 6175733378)

📍
Updated Business Mailing Address January 30, 2014

Registered at 243 CHARLES ST, BOSTON, MA 021143002 (Tel: 6175733378)

👤
Provider Name / Credentials Updated January 30, 2014

Recorded as ANTHONY SORDILLO, D.M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 30, 2014

Dentist (License #1326820A in MA)

🟢
Initial NPI Registration & Enumeration November 08, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Anthony Sordillo. Be the first to share your experience!

Sign in to leave a review for Dr. Anthony Sordillo

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1104807163
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 08, 2005
Last Update: January 30, 2014
Deactivation Date: January 28, 2022

Mailing Address

243 Charles St

Boston, MA 021143002

Phone: 6175733378

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.