WALDEMAR DAUDT POLIDO DDS, MS, PHD
NPI 1720529019
Oral & Maxillofacial Surgery in Indianapolis, IN
About Waldemar Daudt Polido Dds, Ms, Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WALDEMAR DAUDT POLIDO DDS, MS, PHD (NPI 1720529019) is an individual oral & maxillofacial surgery provider in Indianapolis, Indiana, licensed in Indiana (98001085A) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, is affiliated with Indiana University Health, and maintains a secondary practice location in Indianapolis.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 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
Waldemar Daudt Polido Dds, Ms, Phd 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 Waldemar Daudt Polido 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Indiana University Health
Acute Care Hospitals · Indianapolis, INOther 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 Waldemar Daudt Polido's NPI number?
The NPI number for Waldemar Daudt Polido is 1720529019. It was assigned to this individual provider in the NPPES registry on March 20, 2017. The provider is also known as Waldemar D. Polido Dds, Ms, Phd.
Where is Waldemar Daudt Polido located?
Waldemar Daudt Polido practices at 1121 W Michigan St, Indianapolis, IN 46202. The listed phone number is (317) 278-3632.
What is Waldemar Daudt Polido's specialty?
The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.
Is Waldemar Daudt Polido enrolled in Medicare?
Yes. Waldemar Daudt Polido 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 Waldemar Daudt Polido's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Waldemar Daudt Polido 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 Waldemar Daudt Polido's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Waldemar Daudt Polido accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 3 other insurers list Waldemar Daudt Polido 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.
Is Waldemar Daudt Polido affiliated with any hospitals?
According to CMS data, Waldemar Daudt Polido is affiliated with Indiana University Health.
When was this NPI record last updated?
The NPPES record for Waldemar Daudt Polido was last updated on August 25, 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.
# Waldemar Daudt Polido, DDS, MS, PHD · NPI 1720529019
Oral & Maxillofacial Surgery physician in Indianapolis, Indiana. Individual provider, active in the CMS NPPES registry since March 20, 2017.
## Identity
- **NPI:** 1720529019 (Entity type: Individual)
- **Enumerated:** March 20, 2017
- **Primary specialty:** Oral & Maxillofacial Surgery · taxonomy 204E00000X
- **State license:** 98001085A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 1121 W MICHIGAN ST, Indianapolis, IN 46202-5211
- **Phone:** (317) 278-3632
## 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 1984
## Record status
- **NPPES last updated:** August 25, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1720529019) · Data from the CMS NPPES public registry.