Nenad B Janicijevic, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

MD021521E Issued in PA

Practice address

1691 Washington Rd
Mt Lebanon, PA 15228-1643

Phone

(412) 835-6900

Fax

(412) 835-6933

NPI assigned

Feb 7, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Emergency Medicine

Education

Other, 1971

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Magee Womens Hospital of Upmc Health System Hospital, Pittsburgh, PA, CCN 390114

Merit-based Incentive Payment System (MIPS)

Final score

38 of 100Reported as individual

Quality

20

Improvement activities

0

Cost

100

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Medi-Help Medical Center

  • Family Medicine Physician
  • Mt Lebanon, PA
  • NPI 1477686111
  Medicare reassignment NPD Authorized official
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Upmc Magee-Womens Hospital

  • Ambulatory Surgical Clinic/Center
  • Pittsburgh, PA
  • NPI 1659435501

  Hospital

  Care Compare affiliation
• Upmc Magee-Womens Hospital

  • General Acute Care Hospital
  • Pittsburgh, PA
  • NPI 1952311508
  Care Compare affiliation

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276560000000",
    "number": "1013989581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1691 WASHINGTON RD",
            "city": "MT LEBANON",
            "state": "PA",
            "postal_code": "152281643",
            "telephone_number": "412-835-6900",
            "fax_number": "412-835-6933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1691 WASHINGTON RD",
            "city": "MT LEBANON",
            "state": "PA",
            "postal_code": "152281643",
            "telephone_number": "412-835-6900",
            "fax_number": "412-835-6933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANICIJEVIC",
        "first_name": "NENAD",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-07",
        "last_updated": "2010-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MD021521E",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PA",
            "license": "MD021521E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK OF PA",
            "identifier": "1530211",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK OF PA",
            "identifier": "ME121910",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF DISABILITY",
            "identifier": "210694500",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0681487",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC HEALTH PLAN",
            "identifier": "100674",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "228827401",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALAMATO GBA RAILROAD MED",
            "identifier": "700000896",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dental Professionals of Pennsylvania, P.C.
• Dermeve PC
• Grafton Todd Eliason, LPC
• Ggnsc Mt. Lebanon LP
• Bora Janicijevic, M.D.
• Judith Diven MD PC
• Judith Diven MD PC
• Judith Diven MD PC
• Nicole Knestrick, CRNP
• Nicholas Anthony Lange, LPC

• General Practice Physician in Mt Lebanon, PA
• Providers in Mt Lebanon, PA by specialty
• General Practice Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.