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MARLY RIZKALLA D.D.S.
NPI 1821830001
Dentist - General Practice in Indianapolis, IN

Active since June 10, 2024PECOS Enrolled
1650 N COLLEGE AVE STE B, INDIANAPOLIS, IN 46202(317) 880-0888(317) 880-0886 Get Directions Write a Review

NPPES record last updated: September 30, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 11, 2024, Jun 10, 2024 (2 updates tracked since 2024).

About Marly Rizkalla D.d.s. NPPES

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

MARLY RIZKALLA D.D.S. (NPI 1821830001) is an individual general practice provider in Indianapolis, Indiana, licensed in Indiana (12014479A) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1821830001
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameMARLY RIZKALLACredential: D.D.S.
Location Address1650 N COLLEGE AVE STE BIndianapolis, IN 46202-1715
Mailing AddressPo Box 637764Cincinnati, OH 45263-7764 · (317) 880-3939
Phone(317) 880-0888
Fax(317) 880-0886
Sole ProprietorNo
Enumeration DateJune 10, 2024
Last NPPES UpdateSeptember 30, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2025
✔ NPI 1821830001 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 · 12014479A
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.
1650 N COLLEGE AVE STE B, Indianapolis, IN 46202
Open in Google Maps ↗

Secondary Practice Locations 2

Location 12330 E 116th StCarmel, IN 46032-3217 · Phone (317) 410-7014
Location 25515 W 38th StIndianapolis, IN 46254-2995 · Phone (317) 880-3838 · Fax (317) 880-0081

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marly Rizkalla D.d.s. 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.

Medicare Billing Reassignment

Medicare enrollment records show Marly Rizkalla reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Health And Hospital Corporation Of Marion County
Same address
Federally Qualified Health Center (FQHC)
1650 N COLLEGE AVE STE B
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 564 clinicians in this Medicare group
NPI 1639581069 (317) 880-0888

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 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

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

THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY
Clinic/Center (Federally Qualified Health Center (FQHC))
1650 N COLLEGE AVE STE B
INDIANAPOLIS, IN 46202
Marion County (317) 880-0888

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 Marly Rizkalla's NPI number?

The NPI number for Marly Rizkalla is 1821830001. It was assigned to this individual provider in the NPPES registry on June 10, 2024.

Where is Marly Rizkalla located?

Marly Rizkalla practices at 1650 N College Ave Ste B, Indianapolis, IN 46202. The listed phone number is (317) 880-0888.

What is Marly Rizkalla's specialty?

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

Is Marly Rizkalla enrolled in Medicare?

Yes. Marly Rizkalla is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Marly Rizkalla's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marly Rizkalla reassigns Medicare benefits to The Health And Hospital Corporation Of Marion County (Indianapolis, IN). The 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 Marly Rizkalla's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marly Rizkalla accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Delta Dental of Indiana and 8 other insurers list Marly Rizkalla 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 Marly Rizkalla was last updated on September 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.