Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Caio De Andrade Staut, MD

Individual provider Sports Medicine (Family Medicine) Physician · NPI 1124769781

Caio De Andrade Staut, MD is a Family Practice in Indianapolis, Indiana. Qualified in 2016, 10 years ago. Works from 2 locations. Licensed in Indiana.

Years since qualifying
10
Licensed in
IN
In the registry since
2022
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

404 E Washington St Ste A
Indianapolis, IN 46204-2609
Phone: (317) 963-2610
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 10122 E 10th St Ste 100, Indianapolis, IN 46229-2697 — (317) 355-5717

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X · Licence 01096895A (IN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 11022211A (IN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1124769781
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 6, 2022
Last updated in NPPESApril 6, 2026
Certification dateApril 6, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Not indicated

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