NPIMap

Individual provider Active NPI

Vera Stricevic, M.D.

  • Nephrology Physician
  • Naples, FL
National Provider Identifier
1104858968
Registry record updated May 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
94388 Issued in FL
Practice address
878 109TH Ave N
Naples, FL 34108-1821
Phone
(239) 513-1002
Fax
(239) 513-1915
NPI assigned
Jul 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 94388 FL Primary

Addresses

Primary practice location

878 109TH Ave N
Naples, FL 34108-1821

Mailing address

878 109TH Ave N
Naples, FL 34108-1821
Phone (239) 513-1002

Other identifiers 2

IdentifierTypeStateIssuer
274207100MedicaidFL
35115OtherFLBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20060109000124 FL Practitioner - NephrologyPractitioner - Internal Medicine 1951324797 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
State University of New York Downstate Medical Center, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Naples Nephrology P aGroup PAC ID 6507842010, 6 clinicians

Practice addresses (Care Compare)

2700 Immokalee Rd
Suite 22
Naples, FL 34110-1436
Phone (239) 513-1002

878 109TH Ave N
Naples, FL 34108-1814
Phone (239) 513-1002

878 109TH Ave No
Naples, FL 34108-1814

878 109TH N Ave
Naples, FL 34108-1814

Hospital & facility affiliations

  • USRC Mustang Dialysis facility, Naples, FL, CCN 682729
  • USRC Uptown Naples Dialysis Dialysis facility, Naples, FL, CCN 102821
  • DaVita Bonita Springs Dialysis Dialysis facility, Bonita Springs, FL, CCN 102752
  • Naples Community Hospital Hospital, Naples, FL, CCN 100018
  • Lee Memorial Hospital Hospital, Fort Myers, FL, CCN 100012
  • Cape Coral Hospital Hospital, Cape Coral, FL, CCN 100244
  • Physicians Regional Medical Center - Pine Ridge Hospital, Naples, FL, CCN 100286

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
94388FLMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Naples Nephrology P a CurrentSince Nov 26, 2007 Accepting new patients
Naples Peritoneal Dialysis Center,LLC PastSince Oct 1, 2011 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

878 109th Ave N
Naples, FL 34108
Phone (239) 513-1002

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 3

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.

Hospital & facility affiliations 8

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": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211155200000",
    "number": "1104858968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "878 109TH AVE N",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341081821",
            "telephone_number": "239-513-1002",
            "fax_number": "239-513-1915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "878 109TH AVE N",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341081821",
            "telephone_number": "239-513-1002",
            "fax_number": "239-513-1915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRICEVIC",
        "first_name": "VERA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2008-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "94388",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "274207100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "35115",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.