DR. MICHAEL CROCETTI M.D.
NPI 1255371399
Pediatrics in Baltimore, MD
About Dr. Michael Crocetti M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MICHAEL CROCETTI M.D. (NPI 1255371399) is an individual pediatrics provider in Baltimore, Maryland, licensed in Maryland (D50569) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Eastern Virginia Medical School (1993).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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
Dr. Michael Crocetti M.d. 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 Michael Crocetti reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Baltimore, MD 21224
- Reassigned Medicare billing, Maryland enrollment
- 4,483 clinicians in this Medicare group
Baltimore, MD 21287
- Reassigned Medicare billing, Maryland enrollment
- 952 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 21224 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Michael Crocetti's NPI number?
The NPI number for Michael Crocetti is 1255371399. It was assigned to this individual provider in the NPPES registry on June 7, 2006.
Where is Michael Crocetti located?
Michael Crocetti practices at Jhcp Canton Crossing - 1501 S. Clinton St Suite #200, Baltimore, MD 21224. The listed phone number is (410) 522-9940.
What is Michael Crocetti's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Michael Crocetti enrolled in Medicare?
Yes. Michael Crocetti 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 Michael Crocetti's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Michael Crocetti reassigns Medicare benefits to 2 organizations: Johns Hopkins University (Baltimore, MD) and Johns Hopkins Community Physicians (Baltimore, MD). 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 Michael Crocetti's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Michael Crocetti was last updated on May 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Dr. Michael Crocetti, M.D. · NPI 1255371399
Pediatrics physician in Baltimore, Maryland. Individual provider, active in the CMS NPPES registry since June 7, 2006.
## Identity
- **NPI:** 1255371399 (Entity type: Individual)
- **Enumerated:** June 7, 2006
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** D50569 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** JHCP CANTON CROSSING - 1501 S. CLINTON ST, SUITE #200, Baltimore, MD 21224
- **Phone:** (410) 522-9940
## 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): Johns Hopkins University (NPI 1306810619, Baltimore, MD); Johns Hopkins Community Physicians (NPI 1124629837, Baltimore, MD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Eastern Virginia Medical School, class of 1993
## Record status
- **NPPES last updated:** May 24, 2018
- **Other identifiers:** Medicaid 139805900 (MD)
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Source: [NPI Profile](https://npiprofile.com/npi/1255371399) · Data from the CMS NPPES public registry.