Gordana Gligoric, MD

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

L3660 Issued in TX

Practice address

4242 Medical Dr
Suite 6100
San Antonio, TX 78229-5640

Phone

(210) 807-3889

Fax

(210) 888-5851

NPI assigned

Aug 11, 2006

Last updated

Oct 21, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in TX

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

Allergy/Immunology

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Interoperability endpoints

• Direct secure messaging: ggligoric@1300.securemail.prognocis.com
• Direct secure messaging: gligoric.gordana.013.0430362@rmp.meditab.direct-ci.com
• Direct secure messaging: gligoric.gordana.015.0430362@rmp.meditab.direct-ci.com
• Direct secure messaging: gligoric.gordana.017.0430362@rmp.meditab.direct-ci.com

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.

• Rainbow Medical PLLC

  • Specialist
  • San Antonio, TX
  • NPI 1417111626
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256083200000",
    "number": "1063423119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1182",
            "city": "HELOTES",
            "state": "TX",
            "postal_code": "780231182",
            "telephone_number": "210-807-3889",
            "fax_number": "210-888-5851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4242 MEDICAL DR",
            "address_2": "SUITE 6100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782295640",
            "telephone_number": "210-807-3889",
            "fax_number": "210-888-5851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLIGORIC",
        "first_name": "GORDANA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2009-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "TX",
            "license": "L3660",
            "primary": true
        },
        {
            "code": "207RA0201X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": "TX",
            "license": "L3660",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8H4105",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLULINK",
            "identifier": "4310797",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "166489801",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7219671",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "000020861T",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Glendale Pharmacy LLC (Lela Pharmacy)
• Angel Renee Glenn
• Namir Glenn
• Timother Glesener, DDS
• Jonathan Michael Glick, M.D
• Glimmering Hope Care LLC (Acti-Kare Responsive In-Home Care)
• Leah Denea Glischinski, RBT
• Global Medical Billing LLC
• Global Nursing Solutions LLC
• Global Nursing Staffing Solutions LLC

• Allergy & Immunology Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Allergy & Immunology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2009; 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.