Petar Mihajlo Ilievski, MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

MD2011-0017 Issued in NM

Practice address

612 N 13TH St
Artesia, NM 88210-1112

Phone

(575) 748-8311

Fax

(575) 736-6352

NPI assigned

Feb 8, 2006

Last updated

Jul 1, 2011By the provider in NPPES

Sex

Male

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 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Artesia General Hospital

  • General Acute Care Hospital
  • Artesia, NM
  • NPI 1437286044
  NPD (past)
• Southwestern Regional Medical Center

  dba Artesia Healthcare Professionals

  • Internal Medicine Physician
  • Artesia, NM
  • NPI 1225065527
  NPD (past)

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309478400000",
    "number": "1093788465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 629",
            "city": "ARTESIA",
            "state": "NM",
            "postal_code": "882110629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 N 13TH ST",
            "city": "ARTESIA",
            "state": "NM",
            "postal_code": "882101112",
            "telephone_number": "575-748-8311",
            "fax_number": "575-736-6352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ILIEVSKI",
        "first_name": "PETAR",
        "middle_name": "MIHAJLO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2011-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IA",
            "license": "29489",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NM",
            "license": "MD2011-0017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS /BLUE SHIELD",
            "identifier": "37336",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN DEER",
            "identifier": "IA0132",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0443457",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keely M Holder, DOM
• Elizabeth E Holmes, RN
• Sallie Caton Hughes, PT, DPT
• Andrew Hyden, M.D.
• Analicia Iglecias
• Lowell Kirk Irby, R.PH., PH.C.
• J&J Home Care, Inc.
• Jack Battin
• Drew Jackson, LMHC
• Alyia Jeantet

• Urology Physician in Artesia, NM
• Providers in Artesia, NM by specialty
• Urology Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.