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MICHAEL L ICZKOVITZ D.D.S.
NPI 1235159930
Dentist - Oral and Maxillofacial Surgery in Indianapolis, IN

Active since July 19, 2006PECOS Enrolled
1121 W MICHIGAN ST, INDIANAPOLIS, IN 46202(317) 274-7433(317) 274-2603 Get Directions Write a Review

NPPES record last updated: April 28, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michael L Iczkovitz D.d.s. NPPES

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

MICHAEL L ICZKOVITZ D.D.S. (NPI 1235159930) is an individual oral and maxillofacial surgery provider in Indianapolis, Indiana, licensed in Indiana (12008664) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235159930
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameMICHAEL L ICZKOVITZCredential: D.D.S.
Location Address1121 W MICHIGAN STIndianapolis, IN 46202-5211
Mailing Address700 Lane 440 Lake JamesAngola, IN 46703-9090 · (260) 348-4316
Phone(317) 274-7433
Fax(317) 274-2603
Sole ProprietorNo
Enumeration DateJuly 19, 2006
Last NPPES UpdateApril 28, 2026
NPPES CertifiedApril 28, 2026
✔ NPI 1235159930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Licenses✔ Licensed in IN · 12008664✔ Licensed in MI · 2901011066
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
Open in Google Maps ↗

Other Identifiers 2

Medicaid100079980IN
Other000000086698IN · Bcbs/anthem

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael L Iczkovitz D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

DR. JEONG HWA HONG DDS
Dentist
1121 W MICHIGAN ST
INDIANAPOLIS, IN 46202
Marion County (317) 274-7957
DR. ROBERT BARCLAY VOTE D.D.S.
Dentist (General Practice)
1121 W MICHIGAN ST
INDIANAPOLIS, IN 46202
Marion County (317) 274-7433
DANIELLE CRISTINE FURTADO MESSIAS
Dentist
1121 W MICHIGAN ST
INDIANAPOLIS, IN 46202
Marion County (317) 274-5628
DR. SARAH ELIZABETH DOBSON DDS
Dentist
1121 W MICHIGAN ST
INDIANAPOLIS, IN 46202
Marion County (317) 274-7433
ANDREA TANTENGCO HERNANDEZ DMD
Dentist (Prosthodontics)
1121 W MICHIGAN ST
INDIANAPOLIS, IN 46202
Marion County (317) 702-2058
DR. DIANE JOHNSON DDS
Dentist (Orthodontics and Dentofacial Orthopedics)
1121 W MICHIGAN ST
INDIANAPOLIS, IN 46202
Marion County (317) 274-7433
DR. LOUIS D MENEGOTTO D.D.S.PROSTHODONTIST
Dentist (Prosthodontics)
1121 W MICHIGAN ST
INDIANAPOLIS, IN 46202
Marion County (317) 271-3079
DR. FLAVIO DE ALCANTARA CAMEJO DDS
Dentist (Oral and Maxillofacial Surgery)
1121 W MICHIGAN ST
INDIANAPOLIS, IN 46202
Marion County (317) 274-5111

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 Michael Iczkovitz's NPI number?

The NPI number for Michael Iczkovitz is 1235159930. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Where is Michael Iczkovitz located?

Michael Iczkovitz practices at 1121 W Michigan St, Indianapolis, IN 46202. The listed phone number is (317) 274-7433.

What is Michael Iczkovitz's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Michael Iczkovitz enrolled in Medicare?

Yes. Michael Iczkovitz is registered in the Medicare PECOS enrollment system.

What insurance does Michael Iczkovitz accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Humana list Michael Iczkovitz 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 Michael Iczkovitz was last updated on April 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.