SAMUEL ALBERT TANCREDI D.D.S.
NPI 1073783478
Dentist - Oral and Maxillofacial Surgery in Indianapolis, IN

Active since March 03, 2008PECOS EnrolledAccepts Medicare Assignment
9240 N MERIDIAN ST, STE. 300, INDIANAPOLIS, IN 46260(317) 846-7377(317) 846-8566 Get Directions Write a Review

NPPES record last updated: February 29, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1073783478
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameSAMUEL ALBERT TANCREDICredential: D.D.S.
Location Address9240 N MERIDIAN ST, STE. 300Indianapolis, IN 46260-1880
Mailing Address10972 Allisonville Rd, Suite 110Fishers, IN 46038-2637 · (317) 913-2363 · Fax (317) 913-2360
Fax(317) 846-8566
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateMarch 3, 2008
Last NPPES UpdateFebruary 29, 2024
NPPES CertifiedFebruary 29, 2024
NPI 1073783478 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in IN · 12010688A
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
9240 N MERIDIAN ST, Indianapolis, IN 46260

Secondary Practice Location 1

Location 12647 Waterfront Parkway East Dr Ste 200Indianapolis, IN 46214-2020 · Phone (317) 297-1007 · Fax (317) 405-8694

Other Identifiers 1

Medicaid200895780IN

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID5395818942
PECOS Enrollment IDI20080716000050
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
15 services15 patients

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.

New Patient
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Internal Medicine (Endocrinology, Diabetes & Metabolism)
9240 N MERIDIAN ST, SUITE 240
INDIANAPOLIS, IN 46260
Psychologist
9240 N MERIDIAN ST, STE 320
INDIANAPOLIS, IN 46260
Psychologist (Clinical)
9240 N MERIDIAN ST, SUITE 320
INDIANAPOLIS, IN 46260
Psychologist (Clinical)
9240 N MERIDIAN ST, SUITE 320
INDIANAPOLIS, IN 46260
Psychologist (Clinical)
9240 N MERIDIAN ST, SUITE 320
INDIANAPOLIS, IN 46260
Psychologist
9240 N MERIDIAN ST, SUITE 320
INDIANAPOLIS, IN 46260
Specialist
9240 N MERIDIAN ST, SUITE 350
INDIANAPOLIS, IN 46260
Psychologist (Clinical)
9240 N MERIDIAN ST, SUITE 320
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.

What insurance does Samuel Tancredi accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Blue Cross and Blue Shield of Montana 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.