Individual provider Active NPI

Nedeljko Jakov Uncanin

  • Diagnostic Radiology Physician
  • Durham, NC
National Provider Identifier
1346744737
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
2023-01009 Issued in NC
Practice address
2301 Erwin Rd
Durham, NC 27705-4699
Phone
(919) 684-8111
NPI assigned
Mar 20, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 68948 AZ
Diagnostic Radiology Physician 2085R0202X 2023-01009 NC Primary

Addresses

Primary practice location

2301 Erwin Rd
Durham, NC 27705-4699

Mailing address

2301 Erwin Rd
Durham, NC 27705-4699

Other practice location 1

400 W Pueblo St
Santa Barbara, CA 93105-4353
Phone (805) 569-7573 ext. 57573

Other practice location 2

2400 S Avenue A
Yuma, AZ 85364-7127
Phone (928) 344-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, TX, OK, AZ, CA5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20230605002204 NC Practitioner - Diagnostic Radiology 1052778123 Reassigns benefits to 1 organization
I20240305003116 TX Practitioner - Diagnostic Radiology 1052778123 Reassigns benefits to 11 organizations
I20240826004221 OK Practitioner - Diagnostic Radiology 1052778123 Reassigns benefits to 1 organization
I20241216003747 AZ Practitioner - Diagnostic Radiology 1052778123 Reassigns benefits to 4 organizations
I20250318002628 CA Practitioner - Diagnostic Radiology 1052778123 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Minnesota Medical School, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yuma Regional Medical CenterGroup PAC ID 2062314826, 367 clinicians
Kingman Healthcare IncGroup PAC ID 6901791367, 185 clinicians

Practice addresses (Care Compare)

2400 S Ave a
Yuma, AZ 85364-7127
Phone (928) 344-2000

3269 N Stockton Hill Rd
Kingman, AZ 86409-3619
Phone (928) 757-2101

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
68948AZMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clinton Indian Health Center CurrentSince Feb 6, 2024 Accepting new patients
Choctaw Nation of Oklahoma CurrentSince Feb 29, 2024 Accepting new patients
Sansum Clinic CurrentSince Mar 1, 2025 Accepting new patients
Creek Nation Hospital & Clinics Family Medicine Current Accepting new patients
Cherokee Nation CurrentSince Aug 18, 2024 Accepting new patients
Pawnee Indian Health Center CurrentSince Feb 6, 2024 Accepting new patients
Kingman Healthcare, Inc CurrentSince Jan 1, 2025 Accepting new patients
Diagnostic Imaging Associates Inc Diagnostic Radiology CurrentSince Jan 8, 2024 Accepting new patients
Choctaw Nation of Oklahoma CurrentSince Feb 29, 2024 Accepting new patients
Watonga Indian Health Center CurrentSince Feb 6, 2024 Accepting new patients
Duke University Health System Inc Diagnostic Radiology CurrentSince Aug 1, 2023 Accepting new patients
Carnegie Indian Health Center CurrentSince Feb 6, 2024 Accepting new patients
Cherokee Nation CurrentSince Aug 18, 2024 Accepting new patients
Kingman Healthcare, Inc Family Medicine CurrentSince Jan 1, 2025 Accepting new patients
El Reno Indian Health Center CurrentSince Feb 6, 2024 Accepting new patients
Touchstone Imaging of Oklahoma, LLC CurrentSince Feb 1, 2025 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Aug 5, 2024 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Aug 5, 2024 Accepting new patients
Yuma Regional Medical Center CurrentSince Jan 1, 2025 Accepting new patients
Cherokee Nation Current Accepting new patients
Choctaw Nation of Oklahoma Current Accepting new patients
Touchstone Imaging of Oklahoma, LLC CurrentSince Apr 1, 2024 Accepting new patients
Anadarko Indian Health Center CurrentSince Feb 6, 2024 Accepting new patients
Wewoka Indian Health CurrentSince Feb 6, 2024 Accepting new patients
Creek Nation Hospital & Clinics Family Medicine CurrentSince Aug 5, 2024 Accepting new patients
Touchstone Imaging of Oklahoma, LLC CurrentSince Apr 1, 2024 Accepting new patients
Sansum Clinic Current Accepting new patients
Sansum Clinic CurrentSince Mar 1, 2025 Accepting new patients
Lawton Indian Hospital CurrentSince Feb 6, 2024 Accepting new patients
Pawnee IHS Pharmacy PastSince Sep 21, 2025 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients

Locations (25 of 36)

3269 N Stockton Hill Rd
Kingman, AZ 86409
Phone (928) 757-0626

2400 S Avenue A
Yuma, AZ 85364
Phone (928) 336-7100

400 W Pueblo St
Santa Barbara, CA 93105
Phone (805) 569-7279

215 Pesetas Ln
Santa Barbara, CA 93110
Phone (805) 681-1765

317 W Pueblo St
Santa Barbara, CA 93105
Phone (805) 681-7500

201 E Parker McKenzie Dr
Anadarko, OK 73005
Phone (405) 247-7900

1585 W Liberty Rd
Atoka, OK 74525
Phone (580) 889-1981

1300 E Martin Luther King Dr
Broken Bow, OK 74728
Phone (580) 208-2204

212 E 4th St
Carnegie, OK 73015
Phone (580) 654-1100

101 S Moore Ave
Claremore, OK 74017
Phone (918) 342-6200

10321 N 2274 Rd
Clinton, OK 73601
Phone (580) 331-3300

1801 Parkview Dr
El Reno, OK 73036
Phone (405) 234-5600

410 N M St
Hugo, OK 74743
Phone (580) 326-7561

902 E Lincoln Rd
Idabel, OK 74745
Phone (580) 286-2600

859 E Melton Dr
Jay, OK 74346
Phone (918) 253-4271

1515 NE Lawrie Tatum Rd
Lawton, OK 73507
Phone (580) 353-0350

1127 S George Nigh Expy
McAlester, OK 74501
Phone (800) 349-7026

1001 S 41st St E
#3
Muskogee, OK 74403
Phone (918) 687-0201

1020 Lenape Dr
Nowata, OK 74048
Phone (918) 273-0192

1401 Morris Dr
Okmulgee, OK 74447
Phone (918) 456-0641

1101 S Belmont Ave
Ste 204
Okmulgee, OK 74447
Phone (918) 756-3526

900 E Airport Rd
Okmulgee, OK 74447
Phone 91875643334448

1201 Heritage Cir
Pawnee, OK 74058
Phone (918) 762-2517

109 Kerr Blvd
Poteau, OK 74953
Phone (918) 649-1100

900 N Owen Walters Blvd
Salina, OK 74365
Phone (918) 434-8500

Organizations & group practices 32

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.

View all 32

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": "1521504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1346744737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 ERWIN RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277054699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 ERWIN RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277054699",
            "telephone_number": "919-684-8111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 W Pueblo St",
            "address_purpose": "LOCATION",
            "city": "Santa Barbara",
            "state": "CA",
            "postal_code": "931054353",
            "country_code": "US",
            "telephone_number": "805-569-7573 x57573",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2400 S Avenue A",
            "address_purpose": "LOCATION",
            "city": "Yuma",
            "state": "AZ",
            "postal_code": "853647127",
            "country_code": "US",
            "telephone_number": "928-344-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UNCANIN",
        "first_name": "NEDELJKO",
        "middle_name": "JAKOV",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-20",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AZ",
            "license": "68948",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "2023-01009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.