Active NPI
Milos Ivanovic, MD
- Hospitalist Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 01089990A
- Practice address
- 10010 Kennerly Rd
Saint Louis, MO 63128-2106 - Phone
- (314) 525-1000
- NPI assigned
- May 2, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 2021046795 | MO | |
| Hospitalist Physician | 208M00000X | 01089990A | IN | Primary |
| Hospitalist Physician | 208M00000X | 330918 | NY | |
| Hospitalist Physician | 208M00000X | 036155639 | IL | |
| Hospitalist Physician | 208M00000X | 102512-875 | WI |
Addresses
Primary practice location
10010 Kennerly Rd
Saint Louis, MO 63128-2106
Mailing address
10010 Kennerly Rd
Saint Louis, MO 63128-2106
Phone (314) 525-1000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, IN, NY, IL, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9555 76TH St
Pleasant Prairie, WI 53158-1984
Phone (262) 577-8000
Hospital & facility affiliations
- Froedtert South Inc.
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2021046795 | MO | MD | Internal Medicine Physician |
| 01089990A | IN | MD | Hospitalist Physician |
| 330918 | NY | MD | Hospitalist Physician |
| 102512-875 | WI | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York Medical Physician Associates PC | Hospitalist | Current | Accepting new patients |
| Hospitalist Physicians of Indiana, PC | Internal Medicine | Current | Accepting new patients |
| New York Medical Physician Associates PC | Internal Medicine | Current | Accepting new patients |
| Cep America-Illinois Hospitalists, LLP | Internal Medicine | Current | Accepting new patients |
| Galen Inpatient Physicians, PC | Internal Medicine | Current | Accepting new patients |
| Mercy Clinic Adult Hospitalists- Jefferson, LLC | Internal Medicine | Current | Accepting new patients |
| Cep America-Illinois Hospitalists | Hospitalist | Current | Accepting new patients |
| Mercy Clinic Adult Hospitalists - Washington, LLC | Hospitalist | Current | Accepting new patients |
| New York Medical Physician Associates PC | Hospitalist | Current | Accepting new patients |
| Galen Inpatient Physicians PC | Hospitalist | Current | Accepting new patients |
| Vituity-Wisconsin HM SC | Hospitalist | Current | Accepting new patients |
| Cep America-Illinois Hospitalists | Internal Medicine | Current | Accepting new patients |
| Galen Inpatient Physicians PC | Hospitalist | Current | Accepting new patients |
Locations
2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
1800 E Lake Shore Dr
Decatur, IL 62521
Phone (217) 464-2729
1 Saint Elizabeth Blvd
O Fallon, IL 62269
Phone 618234212012438
901 MacArthur Blvd
Munster, IN 46321
Phone (219) 703-1443
1850 State St
New Albany, IN 47150
Phone (812) 944-7701
1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523
85 E US Highway 6
Valparaiso, IN 46383
Phone (219) 983-5743
1400 US Highway 61
Crystal Cty, MO 63028
Phone (636) 933-1111
10010 Kennerly Rd
Saint Louis, MO 63128
Phone (314) 525-1328
615 S New Ballas Rd
#H
Saint Louis, MO 63141
Phone (314) 251-6075
615 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-4687
901 E 5th St
Washington, MO 63090
Phone (636) 239-8000
241 North Rd
Poughkeepsie, NY 12601
Phone (845) 431-8889
111 Hospital Dr
Utica, NY 13502
Phone (315) 801-8534
9555 76th St
Pleasant Prairie, WI 53158
Phone (262) 577-8000
Interoperability endpoints
- mivanovic853278@direct.froedtert.com
Organizations & group practices 13
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.
-
- Hospitalist Physician
- Pleasant Prairie, WI
- NPI 1679265912
-
- Hospitalist Physician
- Washington, MO
- NPI 1891943429
-
- Internal Medicine Physician
- Festus, MO
- NPI 1083052492
-
- Internal Medicine Physician
- Belleville, IL
- NPI 1841613403
-
- Hospitalist Physician
- Terre Haute, IN
- NPI 1871178368
Internal Medicine
-
- Hospitalist Physician
- Fort Wayne, IN
- NPI 1306576277
Internal Medicine
-
- Hospitalist Physician
- Poughkeepsie, NY
- NPI 1578316501
Internal Medicine
-
- Hospitalist Physician
- Effingham, IL
- NPI 1174022362
Internal Medicine
-
- Hospitalist Physician
- Bloomington, IL
- NPI 1669276523
-
- Hospitalist Physician
- Los Angeles, CA
- NPI 1205787686
-
- Hospitalist Physician
- Munster, IN
- NPI 1275252090
-
- Hospitalist Physician
- Margaretville, NY
- NPI 1528869203
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pleasant Prairie, WI
- NPI 1003831132
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738022400000",
"number": "1063901270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10010 KENNERLY RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631282106",
"telephone_number": "314-525-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10010 KENNERLY RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631282106",
"telephone_number": "314-525-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IVANOVIC",
"first_name": "MILOS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-05-02",
"last_updated": "2025-01-28",
"certification_date": "2025-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MO",
"license": "2021046795",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "IN",
"license": "01089990A",
"primary": true
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NY",
"license": "330918",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "IL",
"license": "036155639",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "WI",
"license": "102512-875",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; 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.