Individual provider Active NPI

Dragica Nikolic Milicevic, MD

  • Family Medicine Physician
  • Springfield, IL
National Provider Identifier
1245344357
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036131078 Issued in MS
Practice address
4413 Lynhurst Rd
Springfield, IL 62711-7131
Phone
(217) 705-0086
NPI assigned
Aug 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036131078 IL
Family Medicine Physician 207Q00000X 036131078 MS Primary

Addresses

Primary practice location

4413 Lynhurst Rd
Springfield, IL 62711-7131

Mailing address

4413 Lynhurst Rd
Springfield, IL 62711-7131

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dragicamilicevic@sfc.allscriptsdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
88.83 of 100Reported as apm
Quality
75.65
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036131078ILMDFamily Medicine Physician
036131078MSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Water Valley Medical Clinic 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.

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1245344357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4413 LYNHURST RD",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627117131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4413 LYNHURST RD",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627117131",
            "telephone_number": "217-705-0086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILICEVIC",
        "first_name": "DRAGICA",
        "middle_name": "NIKOLIC",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-18",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036131078",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "036131078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dragicamilicevic@sfc.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "600 N Main St",
            "city": "Taylorville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "625681668",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Springfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.