Individual provider Active NPI

Branislav M Marcic, MD

  • Nephrology Physician
  • Merrillville, IN
National Provider Identifier
1356396378
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
11012310A Issued in IN
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

Updated by the provider on Oct 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, IN2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20061206000064 IL Practitioner - Internal MedicinePractitioner - Nephrology 4183623945 Reassigns benefits to 3 organizations
I20070321000611 IN Practitioner - Internal MedicinePractitioner - Nephrology 4183623945 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kidney Care Center Merrillville LLCGroup PAC ID 3577872043, 2 clinicians

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 Hospital, Gary, IN, CCN 150002
  • Community Hospital Hospital, Munster, IN, CCN 150125
  • St Mary Medical Center Inc Hospital, Hobart, IN, CCN 150034
  • Northwestern Medicine Central Dupage Hospital Hospital, Winfield, IL, CCN 140242
  • Franciscan Health Crown Point Hospital, Crown Point, IN, CCN 150126

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036110496ILMDNephrology Physician
11012310AINMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kidney Care Center Olympia Fields LLC Nephrology CurrentSince Mar 2, 2023 Accepting new patients
Illiana Nephrology Associates LTD Nephrology CurrentSince Aug 1, 2006 Accepting new patients
Kidney Care Center Merrillville LLC Nephrology CurrentSince Dec 1, 2022 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

  • FHIR API: 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.

Hospital & facility affiliations 7

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": "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

Verify at the official NPI Registry.