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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. VINICIUS DUTRA D.D.S.
NPI 1265091029
Dentist - Oral and Maxillofacial Radiology in Indianapolis, IN

Active since June 06, 2019PECOS Enrolled
1121 W MICHIGAN ST, INDIANAPOLIS, IN 46202(317) 274-7433(317) 274-2603 Get Directions Write a Review

NPPES record last updated: August 4, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 4, 2026, Jun 6, 2019 (2 updates tracked since 2019).

About Dr. Vinicius Dutra D.d.s. NPPES

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

DR. VINICIUS DUTRA D.D.S. (NPI 1265091029) is an individual oral and maxillofacial radiology provider in Indianapolis, Indiana, licensed in Indiana (98000992A) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265091029
Entity TypeIndividualMale
Primary Taxonomy1223X0008X
Provider Legal NameDR. VINICIUS DUTRACredential: D.D.S.
Location Address1121 W MICHIGAN STIndianapolis, IN 46202-5211
Mailing Address1121 W Michigan StIndianapolis, IN 46202-5211 · (317) 274-7433 · Fax (317) 274-2603
Phone(317) 274-7433
Fax(317) 274-2603
Sole ProprietorNo
Enumeration DateJune 6, 2019
Last NPPES UpdateAugust 4, 20262 updates tracked since enumeration
NPPES CertifiedAugust 4, 2026
✔ NPI 1265091029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial RadiologyDental Providers
Taxonomy Code1223X0008X
License✔ Licensed in IN · 98000992A
Definition
The specialty of dentistry and discipline of radiology concerned with the production and interpretation of images and data produced by all modalities of radiant energy that are used for the diagnosis and management of diseases, disorders and conditions of the oral and maxillofacial region.
1121 W MICHIGAN ST, Indianapolis, IN 46202
Open in Google Maps ↗

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)

Dr. Vinicius Dutra 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 Vinicius Dutra's NPI number?

The NPI number for Vinicius Dutra is 1265091029. It was assigned to this individual provider in the NPPES registry on June 6, 2019.

Where is Vinicius Dutra located?

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

What is Vinicius Dutra's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Radiology, with taxonomy code 1223X0008X.

Is Vinicius Dutra enrolled in Medicare?

Yes. Vinicius Dutra is registered in the Medicare PECOS enrollment system.

What insurance does Vinicius Dutra accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Delta Dental of Indiana and Humana list Vinicius Dutra 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 Vinicius Dutra was last updated on August 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days 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.