Active NPI
Serge Peter Marinkovic, MD
- Urology Physician
- Fort Wayne, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 01062781A
- Practice address
- 11141 Parkview Plaza Dr Ste 320
Fort Wayne, IN 46845-1714 - Phone
- (260) 425-5400
- Fax
- (260) 425-5417
- NPI assigned
- Oct 26, 2005
- 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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | 01062781A | IN | Primary |
| Plastic and Reconstructive Surgery Physician | 2086S0122X | 200543 | LA | |
| Urology Physician | 208800000X | 036104897 | IL | |
| Surgery Physician | 208600000X | 200543 | LA | |
| Urology Physician | 208800000X | 200543 | LA |
Addresses
Primary practice location
11141 Parkview Plaza Dr Ste 320
Fort Wayne, IN 46845-1714
Mailing address
11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | serge.marinkovic.p26@direct.gapho.nextgenshare.com | Direct | |
| Direct Messaging Address | serge.marinkovic.1@15486.direct.athenahealth.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Wayne State University School of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3315 N Seminary St
Galesburg, IL 61401-1251
Phone (309) 344-1000
3333 N Seminary St
Galesburg, IL 61401-1251
Phone (309) 344-3161
3375 N Seminary St
Galesburg, IL 61401-1251
Phone (309) 676-0766
600 John Deere Rd
Suite 308
Moline, IL 61265-6812
Phone (618) 227-7500
8600 State Route 91
Suite 130
Peoria, IL 61615-7829
Phone (309) 683-5050
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200543 | LA | MD | Plastic and Reconstructive Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Luke's Methodist Hospital | Current | Accepting new patients | |
| Osf Multi-Specialty Group | Current | Accepting new patients | |
| Iroquois Memorial Hospital and Resident Home | Current | Accepting new patients | |
| Acute Care Surgery of South Dakota PC | Urology | Current | Accepting new patients |
| Central PA Pharmacy LLC. | Current | Accepting new patients | |
| Granite City Physicians Corp | Past | Accepting new patients |
Locations
3315 N Seminary St
Galesburg, IL 61401
Phone (309) 344-1000
500 John Deere Rd
Moline, IL 61265
Phone (309) 779-2840
600 John Deere Rd
Ste 308
Moline, IL 61265
Phone (309) 779-4550
600 S 13th St
Pekin, IL 61554
Phone (309) 347-1151
8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050
200 E Fairman Ave
Watseka, IL 60970
Phone (815) 432-5201
Interoperability endpoints
- serge.marinkovic.p26@direct.gapho.nextgenshare.com
- smarinkovic1199547@direct.unitypoint.org
- marinkos@yourcarecommunity.org
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.
-
- Orthopaedic Surgery Physician
- Rapid City, SD
- NPI 1730797184
IL, Urology
-
- Internal Medicine Physician
- Peoria, IL
- NPI 1922445527
-
- Critical Access Hospital
- Watseka, IL
- NPI 1629003470
-
dba patton pharmacy and v&s variety
- Community/Retail Pharmacy
- Patton, PA
- NPI 1578541413
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
-
- Clinical Medical Laboratory
- Granite City, IL
- NPI 1508983214
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Watseka, IL
- NPI 1629003470
-
dba OSF Saint Mary Medical Center
- General Acute Care Hospital
- Galesburg, IL
- NPI 1164485363
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789948800000",
"number": "1093705501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11109 PARKVIEW PLAZA DR # 117",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468451701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11141 PARKVIEW PLAZA DR STE 320",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468451714",
"telephone_number": "260-425-5400",
"fax_number": "260-425-5417"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARINKOVIC",
"first_name": "SERGE",
"middle_name": "PETER",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-26",
"last_updated": "2026-09-21",
"certification_date": "2026-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "IN",
"license": "01062781A",
"primary": true
},
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "LA",
"license": "200543",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "IL",
"license": "036104897",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "LA",
"license": "200543",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "LA",
"license": "200543",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "serge.marinkovic.p26@direct.gapho.nextgenshare.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1120 N Melvin St",
"city": "Gibson City",
"state": "IL",
"country_code": "US",
"postal_code": "609361477",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "serge.marinkovic.1@15486.direct.athenahealth.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "200 E Fairman Ave",
"city": "Watseka",
"state": "IL",
"country_code": "US",
"postal_code": "609701644",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2026; 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.