Individual provider Active NPI

Anthony Criscitiello, MD

  • Surgery Physician
  • Temple, TX
National Provider Identifier
1033868922
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
V2716 Issued in TX
Practice address
546 N Kegley Rd
Temple, TX 76502-4069
Phone
(254) 215-0900
NPI assigned
Mar 20, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X V2716 TX Primary

Addresses

Primary practice location

546 N Kegley Rd
Temple, TX 76502-4069

Mailing address

PO Box 844658
Dallas, TX 75284-4658
Phone (800) 994-0371

Other practice location 1

2401 S 31st St # Msag407Q
Temple, TX 76508-0001
Phone (254) 577-9730

Other practice location 2

2401 S 31st St # Msag407Q
Temple, TX 76508-0001
Phone (919) 282-4359

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address acriscitiello1064372@direct.sw.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241106001827 TX Practitioner - General Surgery 8022495092 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Scott and White ClinicGroup PAC ID 8123923604, 2,426 clinicians

Practice addresses (Care Compare)

101 Lafferty Ave
Cameron, TX 76520-3684
Phone (254) 605-1100

1713 SW H K Dodgen LP
100 Baylor Scott and White Clinic Templ
Temple, TX 76502-1836
Phone (254) 771-8100

1901 SW H K Dodgen Loop
Temple, TX 76502-1814
Phone (254) 724-5437

1901 SW H K Dodgen LP BLDG
300 Baylor Scott and White McLane Childre
Temple, TX 76502-1814
Phone (254) 724-5437

2601 Thornton LN
Temple, TX 76502-1808
Phone (254) 724-6622

546 N Kegley Rd
Temple, TX 76502-4069
Phone (254) 215-0900

5701 Airport Rd
Temple, TX 76502-7092

6684 W Adams Ave
Baylor Scott and White McLane Childre
Temple, TX 76502-5632
Phone (254) 899-4200

7556 Honeysuckle
Temple, TX 76502-5631
Phone (254) 742-7400

Hospital & facility affiliations

  • Baylor Scott & White Medical Center - Temple Hospital, Temple, TX, CCN 450054

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
V2716TXMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scott & White Clinic Surgery CurrentSince Oct 1, 2024 Accepting new patients
Scott & White Clinic Surgery Current Accepting new patients
Scott & White Hospital - Taylor Past Accepting new patients

Locations

101 Lafferty Ave
Cameron, TX 76520
Phone (254) 605-1100

2401 S 31st St
Temple, TX 76508
Phone (254) 724-2459

546 N Kegley Rd
Temple, TX 76502
Phone (254) 215-0900

2401 S 31st St
#200
Temple, TX 76508
Phone (254) 215-0100

2401 S 31st St
#407Q
Temple, TX 76508
Phone (254) 724-2364

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1647734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1033868922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844658",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752844658",
            "telephone_number": "800-994-0371",
            "fax_number": "254-215-9722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "546 N KEGLEY RD",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765024069",
            "telephone_number": "254-215-0900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2401 S 31st St # Msag407Q",
            "address_purpose": "LOCATION",
            "city": "Temple",
            "state": "TX",
            "postal_code": "765080001",
            "country_code": "US",
            "telephone_number": "254-577-9730",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2401 S 31st St # Msag407Q",
            "address_purpose": "LOCATION",
            "city": "Temple",
            "state": "TX",
            "postal_code": "765080001",
            "country_code": "US",
            "telephone_number": "919-282-4359",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRISCITIELLO",
        "first_name": "ANTHONY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-20",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "V2716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "acriscitiello1064372@direct.sw.org",
            "affiliation": "N",
            "address_1": "546 N Kegley Rd",
            "city": "Temple",
            "state": "TX",
            "country_code": "US",
            "postal_code": "765024069",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Temple, TX

Sources for this page

Verify at the official NPI Registry.