LARRY T MICON (MD) – Surgery Physician, NPI 1700822772

LARRY T MICON (MD) is a healthcare provider. based in Indianapolis, Indiana. specializing in Surgery Physician. They hold the professional credentials MD. They hold a License No. 01031976A (IN). The NPI Number for LARRY T MICON (MD) is 1700822772

Main info

Male
44 Years Of Experience
Accepts Medicare Assignment
Name
LARRY T MICON (MD)
NPI
1700822772
Phone
Not provided
Address
10330 N MERIDIAN ST # 300
Enumeration Date
20 June 2006
Last Update Date
3 May 2018

Doctor Profile

Medical School Name
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
1982 (44 years ago)
PAC ID
6800854878
Group Practice PAC ID
7012047640
Professional Enrollment ID
I20041221000999
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for LARRY T MICON (MD)

  • 300 North Meridian, 300, North Meridian Street, Indianapolis, Marion, Indiana, 46204, United States

    INDIANAPOLIS, IN 462901024

    Phone:

    Type: Mailing

  • 13914 SOUTHEASTERN PKWY STE 202

    FISHERS, IN 460377125

    Phone: (800) 477-0233

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 46290)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7012047640View full group profile
NameSpecialtyState
Nurse PractitionerIN
-IN
Pulmonary Disease, Critical Care (Intensivists)IN
General Surgery, Thoracic SurgeryIN
-IN
-NY
Interventional RadiologyIN
-IN
G A S T R O E N T E R O L O G YTX
Nurse PractitionerIN

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Frequently asked questions

What unique ID ties claims to LARRY T MICON (MD)?
NPI 1700822772 is assigned to LARRY T MICON (MD) under the national enumeration system.
Is LARRY T MICON (MD)'s NPI currently valid?
The extract we use shows LARRY T MICON (MD) as active.
Can you summarize LARRY T MICON (MD)'s specialty in plain language?
Clinically, the directory lists LARRY T MICON (MD) with Surgery Physician. Clinical services aligned with this taxonomy classification.
Where is LARRY T MICON (MD)'s primary listing?
We display Indianapolis, Indiana because that is what the record indicates for LARRY T MICON (MD).
How can I contact LARRY T MICON (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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