NPIMap

Individual provider Active NPI

Nikola Karlo Bartulica, DO

  • Internal Medicine Physician
  • Saint Joseph, MO
National Provider Identifier
1053413914
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2007001543 Issued in MO
Practice address
105 Far West Dr Ste 100
Saint Joseph, MO 64506-3514
Phone
(816) 271-8115
Fax
(816) 271-8104
NPI assigned
Sep 2, 2006
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2007001543 MO Primary
Pediatrics Physician 208000000X 2007001543 MO

Addresses

Primary practice location

105 Far West Dr Ste 100
Saint Joseph, MO 64506-3514

Mailing address

105 Far West Dr Ste 100
Saint Joseph, MO 64506-3514
Phone (816) 271-8115

Other practice location 1

711 N 36th St.,
Ste. A
Saint Joseph, MO 64506-2968
Phone (816) 271-8130

Other practice location 2

711 N 36th St.,
Ste. A
Saint Joseph, MO 64506-2968
Phone (816) 271-8130

Other identifiers 3

IdentifierTypeStateIssuer
P00459721OtherMORR MEDICARE
200436660AMedicaidKS
204583900MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070810000547 MO Practitioner - Internal MedicinePractitioner - Pediatric Medicine 4082705652 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heartland Regional Medical CenterGroup PAC ID 6709772767, 394 clinicians

Practice addresses (Care Compare)

105 Far W Dr
100 Mosaic Life Care
St Joseph, MO 64506-3514
Phone (816) 271-8110

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.76 of 100Reported as group
Quality
74.35
Promoting interoperability
100
Improvement activities
40
Cost
74.85

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Medical Center Association Inc CurrentSince Apr 1, 2022 Accepting new patients
Heartland Regional Medical Center Internal Medicine Current Accepting new patients
Heartland Regional Medical Center Internal Medicine CurrentSince Aug 1, 2007 Accepting new patients
Heartland Regional Medical Center CurrentSince Aug 1, 2007 Accepting new patients
Heartland Regional Medical Center Past Accepting new patients
Northwest Medical Center Association, Inc Past Accepting new patients

Locations

1607 E US Highway 136
Albany, MO 64402
Phone (660) 726-3333

705 N College St
Albany, MO 64402
Phone (660) 726-3941

105 Far West Dr
Ste 100
Saint Joseph, MO 64506
Phone (816) 271-8110

5202 Faraon St
Ste A
Saint Joseph, MO 64506
Phone (816) 271-1070

5301 Faraon St
Ste 120
Saint Joseph, MO 64506
Phone (816) 271-6406

711 N 36th St
Ste A
Saint Joseph, MO 64506
Phone (816) 271-8120

901 Heartland Rd
Ste 2800
Saint Joseph, MO 64506
Phone (816) 271-1395

202 E Main St
Stanberry, MO 64489
Phone (660) 783-2092

Networks

  • IA HMO C-SNP
  • IA HMO

Interoperability endpoints

  • Direct secure messaging: nick.bartulica@direct.mymlc.com

Organizations & group practices 6

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

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1053413914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 FAR WEST DR STE 100",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645063514",
            "telephone_number": "816-271-8115",
            "fax_number": "816-271-8104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 FAR WEST DR STE 100",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645063514",
            "telephone_number": "816-271-8115",
            "fax_number": "816-271-8104"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "711 N 36th St.,",
            "address_2": "Ste. A",
            "address_purpose": "LOCATION",
            "city": "Saint Joseph",
            "state": "MO",
            "postal_code": "645062968",
            "country_code": "US",
            "telephone_number": "816-271-8130",
            "fax_number": "816-271-8104",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "711 N 36th St.,",
            "address_2": "Ste. A",
            "address_purpose": "LOCATION",
            "city": "Saint Joseph",
            "state": "MO",
            "postal_code": "645062968",
            "country_code": "US",
            "telephone_number": "816-271-8130",
            "fax_number": "816-271-8104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARTULICA",
        "first_name": "NIKOLA",
        "middle_name": "KARLO",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-02",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2007001543",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "2007001543",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00459721",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200436660A",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "204583900",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MO

Sources for this page

Verify at the official NPI Registry.