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Patrick Ryan Realuyo Relator

NPI 1386406791ActiveIndividual· Dentist, General Practice· Hyde Park, MA

Dentist, General Practice in Hyde Park, Massachusetts, licensed in MA, with an NPI issued in January 2024.

Overview

NPI1386406791
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedJan 30, 2024
Last updated in NPPESSep 17, 2025
Certified by providerSep 17, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, General Practice Primary1223G0001XDN10001020MA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other general dentists in Hyde Park

All 18 general dentists in Hyde Park · All general dentists in Massachusetts