Active NPI
Branislav M Marcic, MD
- Nephrology Physician
- Merrillville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 11012310A
- Practice address
- 757 E 81St Ave
Merrillville, IN 46410-5538 - Phone
- (219) 472-0379
- NPI assigned
- May 24, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 036110496 | IL | |
| Nephrology Physician | 207RN0300X | 11012310A | IN | Primary |
Addresses
Primary practice location
757 E 81St Ave
Merrillville, IN 46410-5538
Mailing address
PO Box 3877
Joliet, IL 60434-3877
Phone (815) 714-7171
Other practice location 1
3302 Vollmer Rd
Olympia Fields, IL 60461-1179
Phone (708) 898-0811
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2315 E 93Rd St
Suite 239
Chicago, IL 60617-3984
Phone (219) 472-0379
757 E 81St Ave
Merrillville, IN 46410-5538
Phone (219) 472-0379
Hospital & facility affiliations
- Methodist Hospitals Inc
- Community Hospital
- St Mary Medical Center Inc
- Northwestern Medicine Central Dupage Hospital
- Franciscan Health Crown Point
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036110496 | IL | MD | Nephrology Physician |
| 11012310A | IN | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kidney Care Center Olympia Fields LLC | Nephrology | Current | Accepting new patients |
| Illiana Nephrology Associates LTD | Nephrology | Current | Accepting new patients |
| Kidney Care Center Merrillville LLC | Nephrology | Current | Accepting new patients |
Locations
2320 E 93rd St
Chicago, IL 60617
Phone (773) 967-2000
2315 E 93rd St
Ste 239
Chicago, IL 60617
Phone (219) 472-0379
16540 Halsted St
Ste A
Harvey, IL 60426
Phone (708) 898-0811
3302 Vollmer Rd
Olympia Flds, IL 60461
Phone (708) 864-2006
757 E 81st Ave
Merrillville, IN 46410
Phone (219) 472-0379
200 E 80th Pl
Unit 2
Merrillville, IN 46410
Phone (219) 472-0379
8230 Calumet Ave
Munster, IN 46321
Phone (219) 836-2232
9305 Calumet Ave
Ste E2
Munster, IN 46321
Phone (219) 289-8147
8230 Calumet Ave
Ste 3
Munster, IN 46321
Phone (219) 836-5160
Interoperability endpoints
- https://api.platform.athenahealth.com/13093/brand/1/csg/1/fhir/r4
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.
-
- Nephrology Physician
- Olympia Fields, IL
- NPI 1619389715
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Crown Point, IN
- NPI 1336205798
-
- General Acute Care Hospital
- Munster, IN
- NPI 1003918210
-
- General Acute Care Hospital
- Hobart, IN
- NPI 1558463745
-
- General Acute Care Hospital
- Hobart, IN
- NPI 1962504175
-
- General Acute Care Hospital
- Gary, IN
- NPI 1467504555
-
- General Acute Care Hospital
- Winfield, IL
- NPI 1003864810
-
- Psychiatric Hospital Unit
- Winfield, IL
- NPI 1740230895
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730160000000",
"number": "1356396378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3877",
"city": "JOLIET",
"state": "IL",
"postal_code": "604343877",
"telephone_number": "815-714-7171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "757 E 81ST AVE",
"city": "MERRILLVILLE",
"state": "IN",
"postal_code": "464105538",
"telephone_number": "219-472-0379"
}
],
"practiceLocations": [
{
"address_1": "3302 Vollmer Rd",
"address_purpose": "LOCATION",
"city": "Olympia Fields",
"state": "IL",
"postal_code": "604611179",
"country_code": "US",
"telephone_number": "708-898-0811",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARCIC",
"first_name": "BRANISLAV",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-24",
"last_updated": "2024-10-29",
"certification_date": "2024-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "IL",
"license": "036110496",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "IN",
"license": "11012310A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Merrillville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.