Active NPI
Trisha Biljanic, PA
- Physician Assistant
- Avon, IN
National Provider Identifier
1194965459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 10001063A
- Practice address
- 1111 Ronald Reagan Pkwy
Avon, IN 46123-7085 - Phone
- (317) 802-3146
- Fax
- (317) 870-0499
- NPI assigned
- Feb 26, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 10001063A | IN | Primary |
Addresses
Primary practice location
1111 Ronald Reagan Pkwy
Avon, IN 46123-7085
Mailing address
5446 Reliable Pkwy
Chicago, IL 60686-0001
Phone (317) 472-7317
Other names 1
- Trisha Lee
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10001063A | IN | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Icem, LLC | Past | Accepting new patients |
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.
-
- Emergency Medicine Physician
- Indianapolis, IN
- NPI 1467788208
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295481600000",
"number": "1194965459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5446 RELIABLE PKWY",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606860001",
"telephone_number": "317-472-7317",
"fax_number": "317-870-0499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 RONALD REAGAN PKWY",
"city": "AVON",
"state": "IN",
"postal_code": "461237085",
"telephone_number": "317-802-3146",
"fax_number": "317-870-0499"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BILJANIC",
"first_name": "TRISHA",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-02-26",
"last_updated": "2011-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IN",
"license": "10001063A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TRISHA",
"last_name": "LEE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Avon, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.