DR. FLAVIO DE ALCANTARA CAMEJO DDS
NPI 1053962654
Dentist - Oral and Maxillofacial Surgery in Indianapolis, IN

Active since September 25, 2019PECOS EnrolledAccepts Medicare Assignment
1121 W MICHIGAN ST, INDIANAPOLIS, IN 46202(317) 274-5111 Get Directions Write a Review

NPPES record last updated: August 19, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1053962654
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. FLAVIO DE ALCANTARA CAMEJOCredential: DDS
Location Address1121 W MICHIGAN STIndianapolis, IN 46202-5211
Mailing Address1121 W Michigan StIndianapolis, IN 46202-5211 · (317) 274-7433
Sole ProprietorYes
Medical School CMSOtherGraduated 2005
Enumeration DateSeptember 25, 2019
Last NPPES UpdateAugust 19, 2025
NPPES CertifiedAugust 19, 2025
NPI 1053962654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in IN · LDF230024
Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

1121 W MICHIGAN ST, Indianapolis, IN 46202

Secondary Practice Location 1

Location 1550 University Blvd Ste 3195Indianapolis, IN 46202-5149 · Phone (317) 274-7433

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

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

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.

PECOS PAC ID8325485790
PECOS Enrollment IDI20240320003262
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 20

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

Dentist
1121 W MICHIGAN ST
INDIANAPOLIS, IN 46202
Dentist (General Practice)
1121 W MICHIGAN ST
INDIANAPOLIS, IN 46202
Dentist
1121 W MICHIGAN ST
INDIANAPOLIS, IN 46202
Dentist
1121 W MICHIGAN ST
INDIANAPOLIS, IN 46202
Dentist (Prosthodontics)
1121 W MICHIGAN ST
INDIANAPOLIS, IN 46202
Dentist (Orthodontics and Dentofacial Orthopedics)
1121 W MICHIGAN ST
INDIANAPOLIS, IN 46202
Dentist (Prosthodontics)
1121 W MICHIGAN ST
INDIANAPOLIS, IN 46202
Dentist
1121 W MICHIGAN ST
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.

What insurance does Flavio De Alcantara Camejo accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian 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 with the weekly NPPES data releases published by CMS.