NPIMap

Individual provider Active NPI

Nikola Marko Dobrasevic, MD

  • Orthopaedic Surgery Physician
  • Baltimore, MD
National Provider Identifier
1336358787
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
D94601 Issued in MD
Practice address
2401 W Belvedere Ave
Baltimore, MD 21215-5216
Phone
(410) 601-2663
Fax
(410) 601-8501
NPI assigned
May 22, 2007
Last updated
Jul 1, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 4301084327 MI
Orthopaedic Surgery Physician 207X00000X 3328-320 WI
Orthopaedic Surgery Physician 207X00000X D94601 MD Primary
Orthopaedic Surgery Physician 207X00000X ME179281 FL
Orthopaedic Surgery Physician 207X00000X MD456232 PA

Addresses

Primary practice location

2401 W Belvedere Ave
Baltimore, MD 21215-5216

Mailing address

2401 W Belvedere Ave
Baltimore, MD 21215-5216
Phone (410) 601-2663

Other practice location 1

2400 E Capitol Dr
Appleton, WI 54911-8728
Phone (920) 831-5050

Other practice location 2

901 45th St
Mangonia Park, FL 33407-2413
Phone (561) 844-5255

Other practice location 3

30250 Blancke Dr
Warren, MI 48093
Phone (586) 675-7172

Other practice location 4

130 2nd St
Neenah, WI 54956-2883
Phone (920) 831-5050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, FL2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230831004511 WI Practitioner - Orthopedic Surgery 2567643851 Reassigns benefits to 5 organizations
I20260507003326 FL Practitioner - Orthopedic Surgery 2567643851 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Wayne State University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aspirus Medical Group, Inc.Group PAC ID 1052223625, 272 clinicians

Practice addresses (Care Compare)

2225 N Shore Dr
Rhinelander, WI 54501-8360
Phone (715) 361-5482

2251 N Shore Dr
Rhinelander, WI 54501-6710
Phone (715) 847-2611

2275 N Shore Dr
Rhinelander, WI 54501-8360
Phone (715) 361-5482

3901 Stewart Ave
Wausau, WI 54401-3948
Phone (715) 841-0002

4005 Community Ctr Dr
Weston, WI 54476-4139
Phone (715) 241-5400

901 45TH St
Mangonia Park, FL 33407-2413
Phone (561) 844-5255

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME179281FLMDOrthopaedic Surgery Physician
MD456232PAMDOrthopaedic Surgery Physician
3328-320WIMDOrthopaedic Surgery Physician
3328WIMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Aspirus Medical Group, Inc. CurrentSince Nov 6, 2023 Accepting new patients
Aspirus Riverview Hospital & Clinics, Inc. CurrentSince Nov 1, 2023 Accepting new patients
Aspirus Riverview Hospital & Clinics, Inc. CurrentSince Nov 1, 2023 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Sep 5, 2023 Accepting new patients
Orthopaedic Centers of Wisconsin S C Orthopaedic Surgery CurrentSince Nov 1, 2023 Accepting new patients
Aspirus Riverview Hospital & Clinics, Inc. Current Accepting new patients
Thedacare, Incorporated CurrentSince Jan 1, 2024 Accepting new patients
Thedacare, Incorporated CurrentSince Jan 1, 2024 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Sep 5, 2023 Accepting new patients
Aspirus Medical Group, Inc. Current Accepting new patients
Orthopaedic Centers of Wisconsin S C CurrentSince Nov 1, 2023 Accepting new patients
Aspirus Medical Group, Inc. CurrentSince Nov 6, 2023 Accepting new patients
Aspirus Medical Group, Inc. Past Accepting new patients
Orthopedic & Trauma Service of Oklahoma, PC Orthopaedic Surgery PastSince May 1, 2008 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Orthopaedic Centers of Wisconsin S C Orthopaedic Surgery Past Accepting new patients
Orthopaedic Centers of Wisconsin S C Orthopaedic Surgery Past Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

2400 E Capitol Dr
Appleton, WI 54911
Phone (920) 454-6290

4480 W Spencer St
Appleton, WI 54914
Phone (920) 738-4800

225 Memorial Dr
Berlin, WI 54923
Phone (920) 361-1313

400 W Glen St
Crandon, WI 54520
Phone (715) 478-3318

130 2nd St
Neenah, WI 54956
Phone (920) 729-2063

200 Theda Clark Medical Plz
Ste 240
Neenah, WI 54956
Phone (920) 725-2070

600 N Westhaven Dr
Oshkosh, WI 54904
Phone (920) 237-5000

2251 N Shore Dr
Ste 100
Rhinelander, WI 54501
Phone (715) 361-2074

401 W Mohawk Dr
Ste 100
Tomahawk, WI 54487
Phone (715) 453-7700

2720 Plaza Dr
Ste 1400A
Wausau, WI 54401
Phone (715) 847-0426

3901 Stewart Ave
Wausau, WI 54401
Phone (715) 907-0900

4005 Community Center Dr
Weston, WI 54476
Phone (715) 241-5400

410 Dewey St
Wisconsin Rapids, WI 54494
Phone (715) 421-5257

420 Dewey St
Wisconsin Rapids, WI 54494
Phone (715) 421-7474

Interoperability endpoints

  • Direct secure messaging: ndobrasevic336292@direct.thedacare.org
  • Direct secure messaging: nikola.dobrasevic@orthoassocwau.directbygreenway.com

Organizations & group practices 19

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 19

Hospital & facility affiliations 27

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1336358787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 W BELVEDERE AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212155216",
            "telephone_number": "410-601-2663",
            "fax_number": "410-601-8501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 W BELVEDERE AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212155216",
            "telephone_number": "410-601-2663",
            "fax_number": "410-601-8501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2400 E Capitol Dr",
            "address_purpose": "LOCATION",
            "city": "Appleton",
            "state": "WI",
            "postal_code": "549118728",
            "country_code": "US",
            "telephone_number": "920-831-5050",
            "fax_number": "920-729-2104",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "901 45th St",
            "address_purpose": "LOCATION",
            "city": "Mangonia Park",
            "state": "FL",
            "postal_code": "334072413",
            "country_code": "US",
            "telephone_number": "561-844-5255",
            "fax_number": "561-844-5245",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30250 Blancke Dr",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "MI",
            "postal_code": "48093",
            "country_code": "US",
            "telephone_number": "586-675-7172",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "130 2nd St",
            "address_purpose": "LOCATION",
            "city": "Neenah",
            "state": "WI",
            "postal_code": "549562883",
            "country_code": "US",
            "telephone_number": "920-831-5050",
            "fax_number": "920-729-2104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOBRASEVIC",
        "first_name": "NIKOLA",
        "middle_name": "MARKO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "4301084327",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "WI",
            "license": "3328-320",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MD",
            "license": "D94601",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME179281",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "PA",
            "license": "MD456232",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.