SAMUEL ALBERT TANCREDI D.D.S.
NPI 1073783478
Dentist - Oral and Maxillofacial Surgery in Indianapolis, IN
About Samuel Albert Tancredi D.d.s. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMUEL ALBERT TANCREDI D.D.S. (NPI 1073783478) is an individual oral and maxillofacial surgery provider in Indianapolis, Indiana, licensed in Indiana (12010688A) and active in the NPI registry since March 2008. He is enrolled in Medicare PECOS, maintains a secondary practice location in Indianapolis, and is a graduate of Other (2004).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Samuel Albert Tancredi D.d.s. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Samuel Tancredi reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fishers, IN 46038
- Reassigned Medicare billing, Indiana enrollment
- 12 clinicians in this Medicare group
Indianapolis, IN 46202
- Reassigned Medicare billing, Indiana enrollment
- 32 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 46260 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
INDIANAPOLIS, IN 46260
INDIANAPOLIS, IN 46260
INDIANAPOLIS, IN 46260
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Samuel Tancredi's NPI number?
The NPI number for Samuel Tancredi is 1073783478. It was assigned to this individual provider in the NPPES registry on March 3, 2008.
Where is Samuel Tancredi located?
Samuel Tancredi practices at 9240 N Meridian St Ste. 300, Indianapolis, IN 46260. The listed phone number is (317) 846-7377.
What is Samuel Tancredi's specialty?
The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.
Is Samuel Tancredi enrolled in Medicare?
Yes. Samuel Tancredi is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Samuel Tancredi's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Tancredi reassigns Medicare benefits to 2 organizations: Indiana Oral & Maxillofacial Surgery Associates PC (Fishers, IN) and Indiana University (Indianapolis, IN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Samuel Tancredi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Samuel Tancredi accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 6 other insurers list Samuel Tancredi as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Samuel Tancredi was last updated on February 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Samuel Albert Tancredi, D.D.S. · NPI 1073783478
Oral and Maxillofacial Surgery provider in Indianapolis, Indiana. Individual provider, active in the CMS NPPES registry since March 3, 2008.
## Identity
- **NPI:** 1073783478 (Entity type: Individual)
- **Enumerated:** March 3, 2008
- **Primary specialty:** Dentist - Oral and Maxillofacial Surgery · taxonomy 1223S0112X
- **State license:** 12010688A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 9240 N MERIDIAN ST, STE. 300, Indianapolis, IN 46260-1880
- **Phone:** (317) 846-7377 · **Fax:** (317) 846-8566
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Indiana Oral & Maxillofacial Surgery Associates PC (NPI 1407809585, Fishers, IN); Indiana University (NPI 1689790552, Indianapolis, IN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2004
## Record status
- **NPPES last updated:** February 29, 2024
- **Other identifiers:** Medicaid 200895780 (IN)
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Source: [NPI Profile](https://npiprofile.com/npi/1073783478) · Data from the CMS NPPES public registry.