Individual provider Active NPI

Marko Rakic, M.B.B.S.

  • Hospitalist Physician
  • Monterey, CA
National Provider Identifier
1164742243
Registry record updated Oct 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
C154985 Issued in CA
Practice address
23625 WR Holman Hwy
Monterey, CA 93940-5902
Phone
(831) 622-2708
Fax
(831) 622-2709
NPI assigned
Jun 11, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X C154985 CA
Hospitalist Physician 208M00000X C154985 CA Primary

Addresses

Primary practice location

23625 WR Holman Hwy
Monterey, CA 93940-5902

Mailing address

23625 WR Holman Hwy
Monterey, CA 93940-5902
Phone (831) 622-2708

Other identifiers 2

IdentifierTypeStateIssuer
1021769MedicaidVT
3089101MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20181018002671 CA Practitioner - HospitalistPractitioner - Internal Medicine 5991945016 Reassigns benefits to 1 organization
I20241127004232 CA Practitioner - Internal Medicine 5991945016 Practice locations: Pacific Grove, CA

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Monterey Hospitalist Medical GroupGroup PAC ID 8527065531, 35 clinicians

Practice addresses (Care Compare)

23625 WR Holman Hwy
Monterey, CA 93940-5902
Phone (831) 625-4311

Hospital & facility affiliations

  • Community Hospital of the Monterey Peninsula Hospital, Monterey, CA, CCN 050145
  • Comm Hosp Monterey Peninsula Inpatient rehabilitation facility, Monterey, CA, CCN 05T145
  • Forest Hill Manor Health Center Nursing home, Pacific Grove, CA, CCN 555867

Merit-based Incentive Payment System (MIPS)

Final score
99.88 of 100Reported as group
Quality
97.98
Improvement activities
40
Cost
82.67

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Monterey Hospitalist Medical Group Internal Medicine CurrentSince Oct 1, 2018 Accepting new patients

Locations

100 Wilson Rd
Ste 100
Monterey, CA 93940
Phone (831) 242-8301

23625 Wr Holman Hwy
Monterey, CA 93940
Phone (831) 622-2708

Organizations & group practices 1

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 4

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": "1276214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571702400000",
    "number": "1164742243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23625 WR HOLMAN HWY",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939405902",
            "telephone_number": "831-622-2708",
            "fax_number": "831-622-2709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23625 WR HOLMAN HWY",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939405902",
            "telephone_number": "831-622-2708",
            "fax_number": "831-622-2709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAKIC",
        "first_name": "MARKO",
        "name_prefix": "Dr.",
        "credential": "M.B.B.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-11",
        "last_updated": "2019-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C154985",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "C154985",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1021769",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3089101",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey, CA

Sources for this page

Verify at the official NPI Registry.