Individual provider Active NPI

Natasa Bratislav Dragicevic, M.D

  • Neurology Physician
  • New York, NY
National Provider Identifier
1124386156
Registry record updated Sep 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
18640 Issued in NV
Practice address
710 W 168TH St
New York, NY 10032-3726
Phone
(212) 305-4679
NPI assigned
Apr 27, 2012
Last updated
Sep 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 057096 CT
Neurology Physician 2084N0400X 18640 NV Primary
Neurology Physician 2084N0400X 35.157049 OH
Behavioral Neurology & Neuropsychiatry Physician 2084B0040X 286642 NY
Behavioral Neurology & Neuropsychiatry Physician 2084B0040X A169361 CA

Addresses

Primary practice location

710 W 168TH St
New York, NY 10032-3726

Mailing address

10535 Hospital Way
Mather, CA 95655-4200
Phone (916) 843-7000

Other practice location 1

710 W 168th St
New York, NY 10032-3726
Phone (212) 305-4679

Other practice location 2

10535 Hospital Way
Mather, CA 95655-4200
Phone (916) 843-7000

Other practice location 3

75 Pringle Way Ste 401
Reno, NV 89502
Phone (775) 982-5000

Other identifiers 2

IdentifierTypeStateIssuer
18640OtherNVSTATE LICENSE
13978464OtherNVCAQH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, CA, WI, NH, IA, NM, GA7 enrollments
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 7

Enrollment IDStateProvider typePAC IDDetails
I20190403001606 NV Practitioner - Neurology 9830476654 Reassigns benefits to 5 organizations
I20200918001333 CA Practitioner - Neurology 9830476654 Reassigns benefits to 4 organizations
I20221201000365 WI Practitioner - Neurology 9830476654 Reassigns benefits to 4 organizations
I20230210000836 NH Practitioner - Neurology 9830476654 Reassigns benefits to 1 organization
I20231207003596 IA Practitioner - Neurology 9830476654 Reassigns benefits to 1 organization
I20240718003313 NM Practitioner - Neurology 9830476654 Reassigns benefits to 1 organization
I20250325000817 GA Practitioner - Neurology 9830476654 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Icahn School of Medicine at Mount Sinai, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mary Greeley Medical CenterGroup PAC ID 6507769247, 30 clinicians
Osf Multi-Specialty GroupGroup PAC ID 3678889789, 2,123 clinicians
Froedtert Manitowoc Medical Group, LLCGroup PAC ID 2365836954, 156 clinicians
Beloit Health System IncGroup PAC ID 8224947858, 138 clinicians
Piedmont Hospitalist Physicians LLCGroup PAC ID 1951299163, 503 clinicians
Presbyterian Healthcare ServicesGroup PAC ID 9234041708, 1,390 clinicians
Core Physicians LLCGroup PAC ID 2769563253, 290 clinicians
Froedtert South IncGroup PAC ID 9537071196, 158 clinicians

Practice addresses (Care Compare)

Yountville, CA 94599
Phone (813) 451-4936

1111 Duff Ave
Suite 1431
Ames, IA 50010-5745
Phone (515) 239-6882

117 Cypress Way
Natasa Dragicevic MD
Stateline, NV 89449-9850
Phone (309) 308-9692

1414 N Taylor Dr
Sheboygan, WI 53081-1988
Phone (920) 320-2436

1905 E Huebbe Pkwy
Beloit, WI 53511-1842
Phone (608) 364-2200

2300 Western Ave
Manitowoc, WI 54220-3712
Phone (920) 320-2011

5126 Hospital Dr NE
Covington, GA 30014-2566
Phone (770) 786-7053

6400 Paseo del Norte NE
Albuquerque, NM 87113-1718
Phone (505) 596-2100

7 Alumni Dr
Exeter, NH 03833-2118
Phone (603) 777-1000

710 Ctr St
Columbus, GA 31901-1527
Phone (706) 571-1454

9555 76TH St
Pleasant Prairie, WI 53158-1984
Phone (262) 577-8300

W180N8000 Town Hall Rd
Menomonee Falls, WI 53051-4002
Phone (262) 255-2500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A169361CAMDBehavioral Neurology & Neuropsychiatry Physician
057096CTMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lester E Cox Medical Centers Neurology CurrentSince Jun 23, 2025 Accepting new patients
Core Physicians LLC CurrentSince Jan 1, 2023 Accepting new patients
Presbyterian Healthcare Services Neurology Current Accepting new patients
Regents Univ of California UCSF CurrentSince Oct 1, 2020 Accepting new patients
Carle Health Medical Group CurrentSince Mar 18, 2026 Accepting new patients
Froedtert &the Medical College of Wisconsin Community Physicians, Inc. CurrentSince Sep 20, 2022 Accepting new patients
Methodist Medical Center of Illinois CurrentSince Sep 20, 2025 Accepting new patients
Methodist Medical Center of Illinois Neurology CurrentSince Sep 20, 2025 Accepting new patients
Presbyterian Healthcare Services CurrentSince Jun 1, 2024 Accepting new patients
Barton Healthcare System CurrentSince Mar 18, 2024 Accepting new patients
Core Physicians, LLC CurrentSince Jan 1, 2023 Accepting new patients
Froedtert Manitowoc Medical Group, LLC CurrentSince Apr 25, 2024 Accepting new patients
Mary Greeley Medical Center Current Accepting new patients
Barton Healthcare System CurrentSince Mar 18, 2024 Accepting new patients
Mary Greeley Medical Center CurrentSince Jul 24, 2023 Accepting new patients
Mary Greeley Medical Center CurrentSince Jul 24, 2023 Accepting new patients
Piedmont Hospitalist Physicians LLC CurrentSince May 12, 2025 Accepting new patients
Froedtert South, Inc. CurrentSince Mar 16, 2024 Accepting new patients
Beloit Health System, Inc CurrentSince Jul 15, 2024 Accepting new patients
Froedtert &the Medical College of Wisconsin Community Physicians, Inc. CurrentSince Sep 20, 2022 Accepting new patients
Beloit Health System Inc CurrentSince Jul 15, 2024 Accepting new patients
Columbus Ambulatory Healthcare Services, Inc. CurrentSince May 12, 2025 Accepting new patients
The Medical College of Wisconsin, Inc. Current Accepting new patients
Barton Medical Foundation CurrentSince Feb 15, 2023 Accepting new patients
Columbus Ambulatory Healthcare Services, Inc. CurrentSince May 12, 2025 Accepting new patients
Presbyterian Healthcare Services CurrentSince Jun 1, 2024 Accepting new patients
Southeast Iowa Regional Medical Center, Inc. PastSince Nov 7, 2022 Accepting new patients
University of Connecticut Health Center Past Accepting new patients

Locations (25 of 41)

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

1090 3rd St
South Lake Tahoe, CA 96150
Phone (530) 543-5660

2074 Lake Tahoe Blvd
Ste 4
South Lake Tahoe, CA 96150
Phone (530) 543-5554

2170 South Ave
South Lake Tahoe, CA 96150
Phone (530) 541-3420

35 Collier Rd NW
Ste 635
Atlanta, GA 30309
Phone (404) 367-3000

100 Frist Ct
Columbus, GA 31909
Phone (706) 494-2100

1800 10th Ave
Columbus, GA 31901
Phone (706) 571-1120

710 Center St
Columbus, GA 31901
Phone (706) 571-1000

1412 Milstead Ave NE
Conyers, GA 30012
Phone (770) 918-3000

5126 Hospital Dr NE
Covington, GA 30014
Phone (770) 385-4340

1111 Duff Ave
Ames, IA 50010
Phone (515) 239-2011

1111 Duff Ave
Ste 1431
Ames, IA 50010
Phone (515) 239-2011

3 Alumni Dr
Ste 301
Exeter, NH 03833
Phone (603) 658-1180

5 Alumni Dr
Unit 4
Exeter, NH 03833

7 Alumni Dr
Exeter, NH 03833
Phone (603) 777-1000

7 Holland Way
#1
Exeter, NH 03833

6400 Paseo del Norte NE
Albuquerque, NM 87113
Phone (505) 596-2100

8300 Constitution Ave NE
Albuquerque, NM 87110
Phone (505) 291-2000

8300 Constitution Ave NE
Bldg D
Albuquerque, NM 87110
Phone (505) 291-2200

2100 N Mlk Blvd
Clovis, NM 88101
Phone (505) 769-2141

2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577

1010 Spruce St
Espanola, NM 87532
Phone (505) 367-0340

211 Sudderth Dr
Ruidoso, NM 88345
Phone (505) 257-7381

4801 Beckner Rd
Santa Fe, NM 87507
Phone (505) 772-1234

1202 Highway 60
Socorro, NM 87801
Phone (505) 835-1140

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: ndragice@yourcarecommunity.org
  • Direct secure messaging: ndragicevic248857@direct.phs.org
  • Direct secure messaging: ndragicevic522624@direct.bilh.masshiway.net
  • Direct secure messaging: ndragicevic595030@direct.froedtert.com

Organizations & group practices 30

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.

View all 30

Hospital & facility affiliations 5

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": "1335484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790553600000",
    "number": "1124386156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10535 HOSPITAL WAY",
            "city": "MATHER",
            "state": "CA",
            "postal_code": "956554200",
            "telephone_number": "916-843-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 W 168TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100323726",
            "telephone_number": "212-305-4679"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "710 W 168th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100323726",
            "country_code": "US",
            "telephone_number": "212-305-4679",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10535 Hospital Way",
            "address_purpose": "LOCATION",
            "city": "Mather",
            "state": "CA",
            "postal_code": "956554200",
            "country_code": "US",
            "telephone_number": "916-843-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "75 Pringle Way Ste 401",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "89502",
            "country_code": "US",
            "telephone_number": "775-982-5000",
            "fax_number": "775-982-2973",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DRAGICEVIC",
        "first_name": "NATASA",
        "middle_name": "BRATISLAV",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-27",
        "last_updated": "2026-09-28",
        "certification_date": "2026-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CT",
            "license": "057096",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NV",
            "license": "18640",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OH",
            "license": "35.157049",
            "primary": false
        },
        {
            "code": "2084B0040X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
            "state": "NY",
            "license": "286642",
            "primary": false
        },
        {
            "code": "2084B0040X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
            "state": "CA",
            "license": "A169361",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "18640",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "13978464",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.