DR. FLAVIO DE ALCANTARA CAMEJO DDS
NPI 1053962654
Dentist - Oral and Maxillofacial Surgery in Indianapolis, IN
About Dr. Flavio De Alcantara Camejo Dds NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. FLAVIO DE ALCANTARA CAMEJO DDS (NPI 1053962654) is an individual oral and maxillofacial surgery provider in Indianapolis, Indiana, licensed in Indiana (LDF230024) and active in the NPI registry since September 2019. He is enrolled in Medicare PECOS, maintains a secondary practice location in Indianapolis, and is a graduate of Other (2005).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Group Practice 1
Accepted Insurance
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. Flavio De Alcantara Camejo Dds 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 Reassignment
Medicare enrollment records show Flavio De Alcantara Camejo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Indianapolis, IN 46202
- Reassigned Medicare billing, Indiana enrollment
- 32 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 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.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
INDIANAPOLIS, IN 46202
INDIANAPOLIS, IN 46202
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 Flavio De Alcantara Camejo's NPI number?
The NPI number for Flavio De Alcantara Camejo is 1053962654. It was assigned to this individual provider in the NPPES registry on September 25, 2019.
Where is Flavio De Alcantara Camejo located?
Flavio De Alcantara Camejo practices at 1121 W Michigan St, Indianapolis, IN 46202. The listed phone number is (317) 274-5111.
What is Flavio De Alcantara Camejo's specialty?
The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.
Is Flavio De Alcantara Camejo enrolled in Medicare?
Yes. Flavio De Alcantara Camejo 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 organization bills Medicare for Flavio De Alcantara Camejo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Flavio De Alcantara Camejo reassigns Medicare benefits to Indiana University (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 Flavio De Alcantara Camejo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Flavio De Alcantara Camejo accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Delta Dental of Indiana list Flavio De Alcantara Camejo 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 Flavio De Alcantara Camejo was last updated on August 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Dr. Flavio De Alcantara Camejo, DDS · NPI 1053962654
Oral and Maxillofacial Surgery provider in Indianapolis, Indiana. Individual provider, active in the CMS NPPES registry since September 25, 2019.
## Identity
- **NPI:** 1053962654 (Entity type: Individual)
- **Enumerated:** September 25, 2019
- **Primary specialty:** Dentist - Oral and Maxillofacial Surgery · taxonomy 1223S0112X
- **State license:** LDF230024 (Indiana)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1121 W MICHIGAN ST, Indianapolis, IN 46202-5211
- **Phone:** (317) 274-5111
## 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:** Indiana University (NPI 1689790552, Indianapolis, IN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2005
## Record status
- **NPPES last updated:** August 19, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1053962654) · Data from the CMS NPPES public registry.