Oliver Dimitrijevic, MD
Individual provider Active NPI Internal Medicine Physician · Warren, MI
NPI 1003055252 · NPPES record last updated Jan 25, 2023
Key facts
- NPI
- 1003055252
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 4301089472 (MI)
- Practice address
- 27450 Schoenherr Rd
Suite 500
Warren, MI 48088-6683 - Phone
- (586) 582-7632
- Fax
- (586) 582-7633
- NPI assigned
- Feb 11, 2009
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 26
Hospital & facility affiliations 17
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sound Physicians of Wyoming LLC
Poudre Valley Medical Group LLC
Aspirus Ironwood Hospital and Clinics Inc
Practice addresses (Care Compare)
1233 E 2ND St
Casper, WY 82601-2926
Phone (800) 822-7201
400 W 16TH St
Pueblo, CO 81003-2745
Phone (719) 584-4921
4404 Barranca LN
Unit 101
Castle Rock, CO 80104-7419
Phone (720) 733-5260
N10561 Grandview LN
Ironwood, MI 49938-9622
Phone (906) 932-2525
Hospital & facility affiliations
- Banner Wyoming Medical Center
- Aspirus Ironwood Hospital
- Parkview Medical Center, Inc
- Sagewest Health Care
- Campbell County Health
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (7 enrollments) in MI, NH, TN, UT, CO, WY, OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120913000280 | MI | Practitioner - Hospitalist |
0547418766 | Reassigns benefits to 6 organizations |
| I20190510000761 | NH | Practitioner - Internal Medicine | 0547418766 | Reassigns benefits to 1 organization |
| I20220608000889 | TN | Practitioner - Hospitalist | 0547418766 | Reassigns benefits to 3 organizations |
| I20221117002523 | UT | Practitioner - Internal Medicine | 0547418766 | Reassigns benefits to 1 organization |
| I20230301002608 | CO | Practitioner - Hospitalist | 0547418766 | Reassigns benefits to 1 organization |
| I20231114001039 | WY | Practitioner - Internal Medicine | 0547418766 | Reassigns benefits to 1 organization |
| I20250702002621 | OH | Practitioner - Internal Medicine | 0547418766 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospitalist Medicine Physicians of Michigan PLLC | Internal Medicine | Current |
Accepting new patients |
| Poudre Valley Medical Group, LLC | Current |
Accepting new patients | |
| Aspirus Ironwood Hospital & Clinics, Inc. | Current |
Accepting new patients | |
| Aspirus Ironwood Hospital & Clinics, Inc. | Family Medicine | Current | Accepting new patients |
| Southeastern Physician Services PC | Internal Medicine | Current |
Accepting new patients |
| Poudre Valley Medical Group, LLC | Current | Accepting new patients | |
| Hospitalist Physicians Medical Group of Michigan, PC | Current |
Accepting new patients | |
| Sound Inpatient Physicians - Michigan, PLLC | Family Medicine | Current |
Accepting new patients |
| Aspirus Ironwood Hospital & Clinics, Inc. | Current |
Accepting new patients | |
| Sound Inpatient Physicians-Michigan, PLLC | Family Medicine | Current |
Accepting new patients |
| Ihc Health Services Inc | Current |
Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Hospitalist Physicians Medical Group of Michigan, PC | Hospitalist | Current |
Accepting new patients |
| Hospitalist Medicine Physicians of Michigan, PLLC | Internal Medicine | Current | Accepting new patients |
| Hospital Medicine Services of TN, LLC | Hospitalist | Current |
Accepting new patients |
| Sound Physicians of Wyoming, LLC | Family Medicine | Current |
Accepting new patients |
| Saint Thomas Medical Partners | Family Medicine | Current |
Accepting new patients |
| Apogee Medical Group, Michigan, PC | Internal Medicine | Current |
Accepting new patients |
| Hospital Medicine Services of NH, LLC | Hospitalist | Current |
Accepting new patients |
| Hospitalist Medicine Physicians of Ohio-Columbus II Professional Corp | Family Medicine | Current |
Accepting new patients |
| Parkview Medical Center, Inc. | Past | Accepting new patients | |
| Wyoming Medical Center Inc | Past | Accepting new patients |
Locations (25 of 31)
15059 N Scottsdale Rd
Ste 600
Scottsdale, AZ 85254
Phone (602) 778-3601
4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260
400 W 16th St
Pueblo, CO 81003
Phone (719) 584-4000
1619 N Greenwood St
Ste 106
Pueblo, CO 81003
Phone (719) 595-7760
58 Club Manor Dr
Pueblo, CO 81008
Phone (719) 584-4045
29980 Network Pl
Chicago, IL 60673
1501 W Chisholm St
Alpena, MI 49707
Phone (989) 356-7000
1721 S Stephenson Ave
Iron Mountain, MI 49801
Phone (906) 776-5415
N10565 Grandview Ln
Ironwood, MI 49938
Phone (906) 932-1500
N10561 Grandview Ln
Ironwood, MI 49938
Phone (906) 932-1500
1 Atkinson Dr
Ludington, MI 49431
Phone (231) 843-2591
850 W Baraga Ave
Marquette, MI 49855
Phone (906) 225-3595
580 W College Ave
Marquette, MI 49855
Phone (906) 225-3131
1221 Pine Grove Ave
Port Huron, MI 48060
Phone (810) 989-3300
800 S Washington Ave
Saginaw, MI 48601
Phone (989) 776-8000
2333 Biddle Ave
Wyandotte, MI 48192
Phone (734) 246-6000
1 Parkland Dr
Derry, NH 03038
Phone (603) 421-2220
100 McGregor St
Manchester, NH 03102
Phone (603) 663-6931
272 Hospital Rd
Chillicothe, OH 45601
Phone (740) 779-4275
181 Taylor Ave
Columbus, OH 43203
Phone (614) 257-2358
100 Dawn Ln
Waverly, OH 45690
Phone (740) 947-2186
120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040
1500 W Poplar Ave
Collierville, TN 38017
Phone (901) 227-8140
6019 Walnut Grove Rd
Memphis, TN 38120
Phone (901) 226-3190
1700 Medical Center Pkwy
Murfreesboro, TN 37129
Phone (615) 396-4100
Interoperability endpoints
- oliver.dimitrijevic@direct.genesishealth.com
- https://fhir.yourcareuniverse.net/tenant/400c346b-db8c-4fe4-81d3-fc94d7e9bf90
- odimitrijevic387864@direct.hfhs.org
- https://fhir-myrecord.cerner.com/r4/dcf3b1c6-3971-4673-962e-8b2cce0ff827/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 01079000A | IN | |
| Internal Medicine Physician | 207R00000X | 4301089472 | MI | Yes |
Addresses
Primary practice location
27450 Schoenherr Rd
Suite 500
Warren, MI 48088-6683
Mailing address
19251 Mack Ave
Suite 333
Grosse Pointe Woods, MI 48236-2893
Phone (313) 343-7280
Other practice location 1
5454 Hohman Ave
Hammond, IN 46320-1931
Phone (219) 932-2300
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 700E012740 | Other | MI | BCBS GROUP NUMBER |
Other providers in Warren, MI
- Noreen Kay Diedo
- David Diener
- Dillardz Way Medical Transportation LLC
- Wissam Dimachk
- Maya Dimeglio
- Christabelle Carabuena Dingcong
- Ashourina Ashour Dinkha
- Karim Dirani
- Discount Dental PC
- Divine Guidance Institute and Wellness Center Inc.
All providers in Warren, MI · Internal Medicine Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 25, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.