DR. LARRY A CRISAFULLI DDS
NPI 1316187016
Dentist - General Practice in Indianapolis, IN

Active since February 20, 2009PECOS Enrolled
1121 W MICHIGAN STREET, DS307B, INDIANAPOLIS, IN 46202(317) 278-3632(317) 274-2603 Get Directions Write a Review

NPPES record last updated: November 15, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Larry A Crisafulli Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LARRY A CRISAFULLI DDS (NPI 1316187016) is an individual general practice provider in Indianapolis, Indiana, licensed in Indiana (12012038A) and active in the NPI registry since February 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316187016
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. LARRY A CRISAFULLICredential: DDS
Location Address1121 W MICHIGAN STREET, DS307BIndianapolis, IN 46202-5186
Mailing Address1121 W Michigan Street, Ds307bIndianapolis, IN 46202-5186 · (202) 332-2291
Fax(317) 274-2603
Sole ProprietorNo
Enumeration DateFebruary 20, 2009
Last NPPES UpdateNovember 15, 2016
NPI 1316187016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in IN · 12012038A
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

1121 W MICHIGAN STREET, Indianapolis, IN 46202

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Larry A Crisafulli Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46202 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 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
1121 W MICHIGAN STREET, DS307B
INDIANAPOLIS, IN 46202
Dentist (Prosthodontics)
1121 W MICHIGAN STREET, S-408
INDIANAPOLIS, IN 46202
Dentist (Prosthodontics)
1121 W MICHIGAN STREET, DS307B
INDIANAPOLIS, IN 46202
Dentist
1121 W MICHIGAN STREET, DS307B
INDIANAPOLIS, IN 46202
Dentist (Oral and Maxillofacial Pathology)
1121 W MICHIGAN STREET
INDIANAPOLIS, IN 46202
Dentist (General Practice)
1121 W MICHIGAN STREET, DS 307B
INDIANAPOLIS, IN 46202
Dentist
1121 W MICHIGAN STREET, DS307B
INDIANAPOLIS, IN 46202
Dentist (Periodontics)
1121 W MICHIGAN STREET, DS307B
INDIANAPOLIS, IN 46202

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 Larry Crisafulli's NPI number?

The NPI number for Larry Crisafulli is 1316187016. It was assigned to this individual provider in the NPPES registry on February 20, 2009.

Where is Larry Crisafulli located?

Larry Crisafulli practices at 1121 W Michigan Street Ds307b, Indianapolis, IN 46202. The listed phone number is (317) 278-3632.

What is Larry Crisafulli's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Larry Crisafulli enrolled in Medicare?

Yes. Larry Crisafulli is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Larry Crisafulli was last updated on November 15, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.