Nikola Ivancevic DPM PC

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

016-004831 Issued in IL

Legal business name

NIKOLA IVANCEVIC DPM PC

Practice address

135 S Palmer Dr
Suite 105
Elmhurst, IL 60126-3403

Phone

(630) 782-6557

Fax

(630) 782-6559

NPI assigned

Dec 24, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Nikola Ivancevic, DPM

Title

Podiatrist

Phone

(630) 782-6557

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert J Sheffey, DPM

  • Foot & Ankle Surgery Podiatrist
  • Chicago, IL
  • NPI 1063417830
  NPD (past)
• Eric Christopher Whittenburg, DPM

  • Foot & Ankle Surgery Podiatrist
  • Belleville, IL
  • NPI 1447228481
  NPD (past)
• Jeffrey P Hall, DPM

  • Foot & Ankle Surgery Podiatrist
  • St Francis, WI
  • NPI 1568467512
  NPD (past)
• Irene Erica Roge, D.P.M.

  • Podiatrist
  • Greenwood, IN
  • NPI 1497762819
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1198454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1013191287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 VICTORIA AVE",
            "city": "BERKELEY",
            "state": "IL",
            "postal_code": "601631467",
            "telephone_number": "630-782-6557",
            "fax_number": "630-782-6559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 S PALMER DR",
            "address_2": "SUITE 105",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601263403",
            "telephone_number": "630-782-6557",
            "fax_number": "630-782-6559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIKOLA IVANCEVIC DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-24",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "IVANCEVIC",
        "authorized_official_first_name": "NIKOLA",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "630-782-6557",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "IL",
            "license": "016-004831",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD PIN",
            "identifier": "480027618",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016-004831",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maureen B. Newsham
• Nextgen Medical Supplies Inc
• Josephine Ba Nguyen, M.D.
• Dyana Nicanor
• Syeda Sara Nida, MD
• John W Nikoleit, MD
• Vickie Kay Nixon, PT
• Elsie-Linda Nketia
• Jessica Norman, MD
• Northern Illinois Diagnostic Medical Imaging

• Foot Surgery Podiatrist in Elmhurst, IL
• Providers in Elmhurst, IL by specialty
• Foot Surgery Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.