CAIO DE ANDRADE STAUT MD
NPI 1124769781
Family Medicine - Sports Medicine in Indianapolis, IN

Q: What is Caio De Andrade Staut's NPI number?

The NPI number for Caio De Andrade Staut is 1124769781. It was assigned to this individual provider in the NPPES registry on April 6, 2022.

Q: What is Caio De Andrade Staut's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Active since April 06, 2022PECOS Enrolled

404 E WASHINGTON ST STE A, INDIANAPOLIS, IN 46204(317) 963-2610 Get Directions Write a Review

NPPES record last updated: April 6, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 6, 2026, Aug 9, 2024, Apr 6, 2022 (3 updates tracked since 2022).

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About Caio De Andrade Staut Md NPPES

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

CAIO DE ANDRADE STAUT MD (NPI 1124769781) is an individual sports medicine provider in Indianapolis, Indiana, licensed in Indiana (01096895A) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS, maintains a secondary practice location in Indianapolis, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1124769781

Entity TypeIndividualMale

Primary Taxonomy207QS0010X

Provider Legal NameCAIO DE ANDRADE STAUTCredential: MD

Location Address404 E WASHINGTON ST STE AIndianapolis, IN 46204-2609

Mailing Address250 N Shadeland AveIndianapolis, IN 46219-4959

Phone(317) 963-2610

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateApril 6, 2022

Last NPPES UpdateApril 6, 20263 updates tracked since enumeration

NPPES CertifiedApril 6, 2026

✔ NPI 1124769781 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QS0010X

License✔ Licensed in IN · 01096895A

Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 11022211A (IN)

404 E WASHINGTON ST STE A, Indianapolis, IN 46204

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Secondary Practice Location 1

Location 110122 E 10th St Ste 100Indianapolis, IN 46229-2697 · Phone (317) 355-5717

Other Identifiers 1

Medicaid300062710IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Caio De Andrade Staut Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1254719040

PECOS Enrollment IDI20260410001182

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 Reassignments

Medicare enrollment records show Caio De Andrade Staut reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Iu Health Medical Group, LLC

1.7 mi

General Practice

1701 N SENATE BLVD
Indianapolis, IN 46202

Reassigned Medicare billing, Indiana enrollment
5,212 clinicians in this Medicare group

NPI 1326893777 (317) 962-2000

Be Well Family Care, LLC

14 mi

Family Medicine

12430 CLARK ST
Carmel, IN 46032

Reassigned Medicare billing, Indiana enrollment
5 clinicians in this Medicare group

NPI 1689110413 (317) 938-4559

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 46204 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

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

Most-billed visit code 99214

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 9

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

NAURAMY I ABORO MD

Family Medicine