Individual provider Active NPI

Mladen Golubic, M.D., PH.D.

  • Family Medicine Physician
  • Cincinnati, OH
National Provider Identifier
1336381326
Registry record updated Nov 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35093488 Issued in OH
Practice address
3113 Bellevue Ave
Cincinnati, OH 45219-3158
Phone
(513) 475-8730
Fax
(513) 475-8033
NPI assigned
Apr 6, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2020

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 093488 OH
Family Medicine Physician 207Q00000X 35093488 OH Primary

Addresses

Primary practice location

3113 Bellevue Ave
Cincinnati, OH 45219-3158

Mailing address

1950 Richmond Rd
Cleveland Clinic Foundation
Cleveland, OH 44124-3719
Phone (216) 297-8525

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100204000117 OH Practitioner - Internal Medicine 6709929367 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3113 Bellevue Ave
Cincinnati, OH 45219-3158
Phone (513) 475-8000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35093488OHMDFamily Medicine Physician
093488OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients
University of Cincinnati Physicians Company, LLC Family Medicine CurrentSince Jan 1, 2021 Accepting new patients

Locations

3188 Bellevue Ave
Cincinnati, OH 45219
Phone (513) 558-5281

3151 Bellevue Ave
Cincinnati, OH 45219
Phone (513) 584-3494

2123 Auburn Ave
#A28
Cincinnati, OH 45219
Phone (513) 585-0523

3113 Bellevue Ave
Cincinnati, OH 45219
Phone (513) 475-8033

Interoperability endpoints

  • Direct secure messaging: mgolubicmd33200@direct.ccf.org
  • Direct secure messaging: mgolubic352630@direct.uchealth.com

Organizations & group practices 3

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 2

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": "1238976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605571200000",
    "number": "1336381326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 RICHMOND RD",
            "address_2": "CLEVELAND CLINIC FOUNDATION",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441243719",
            "telephone_number": "216-297-8525",
            "fax_number": "216-297-8505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3113 BELLEVUE AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452193158",
            "telephone_number": "513-475-8730",
            "fax_number": "513-475-8033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLUBIC",
        "first_name": "MLADEN",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-06",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "093488",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35093488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.