Individual provider Active NPI

Luci Mario Kovacevic, M.D., M.P.H.

  • Occupational Medicine Physician
  • Albany, OR
National Provider Identifier
1417177304
Registry record updated Mar 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
License
27466 Issued in OR
Practice address
1100 7TH Ave SW
Albany, OR 97321-1925
Phone
(541) 812-5600
NPI assigned
Apr 26, 2007
Last updated
Mar 20, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Physician 2083X0100X 27466 OR Primary

Addresses

Primary practice location

1100 7TH Ave SW
Albany, OR 97321-1925

Mailing address

PO Box 1189
Corvallis, OR 97339-1189

Other practice location 1

2650 Suzanne Way Ste 200
Eugene, OR 97408-7619
Phone (541) 228-3050

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lkovacevic191397@samhealth.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20081027000749 OR Practitioner - Preventive MedicinePractitioner - Other (Physician) 7113085630 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Preventive Medicine
Education
Creighton University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Doctors Emergency Room Corp PCGroup PAC ID 2668467317, 20 clinicians

Practice addresses (Care Compare)

1460 G St
Springfield, OR 97477-4112
Phone (541) 726-4400

2650 Suzanne Way
Suite 200
Eugene, OR 97408-7619
Phone (541) 228-3019

89 Centennial Loop
Suite a
Eugene, OR 97401-7917
Phone (541) 342-1632

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
27466ORMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Valley Healthcare, Inc. CurrentSince Jul 18, 2016 Accepting new patients
Albany General Hospital CurrentSince Nov 7, 2020 Accepting new patients
Samaritan Pacific Health Services, Inc. Current Accepting new patients
Willamette Community Health Solutions CurrentSince Jan 11, 2021 Accepting new patients
Samaritan North Lincoln Hospital Current Accepting new patients
Icco, LLC Current Accepting new patients
Icco, LLC CurrentSince Oct 22, 2009 Accepting new patients
Willamette Community Health Solutions CurrentSince Jan 11, 2021 Accepting new patients
Mid-Valley Healthcare Inc Current Accepting new patients
Mid-Valley Healthcare Inc CurrentSince Jul 18, 2016 Accepting new patients
Samaritan Pacific Health Services, Inc Current Accepting new patients
Doctors Emergency Room Corporation, PC CurrentSince Apr 18, 2017 Accepting new patients
Good Samaritan Hospital Corvallis Current Accepting new patients
Willamette Community Health Solutions Past Accepting new patients
Firstcare Medical Foundation Past Accepting new patients

Locations

3600 NW Samaritan Dr
Ste 227
Corvallis, OR 97330
Phone (541) 768-1261

2650 Suzanne Way
Ste 200
Eugene, OR 97408
Phone (541) 228-3000

598 E 13th Ave
Eugene, OR 97401
Phone (541) 636-3473

89 Centennial Loop
Ste A
Eugene, OR 97401
Phone (541) 228-3000

355 W 3rd Ave
Junction City, OR 97448
Phone (541) 998-2468

325 Park St
Lebanon, OR 97355
Phone (541) 451-7200

425 N Santiam Hwy
Lebanon, OR 97355
Phone (541) 451-6960

3043 NE 28th St
Lincoln City, OR 97367
Phone (541) 994-3661

930 SW Abbey St
Newport, OR 97365
Phone (541) 265-2244

1460 G St
Springfield, OR 97477
Phone (541) 431-0665

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1804/brand/1/csg/1/fhir/r4
  • Direct secure messaging: lkovacevic191397@samhealth.direct-ci.com

Organizations & group practices 15

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 15

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773964800000",
    "number": "1417177304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1189",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973391189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 7TH AVE SW",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973211925",
            "telephone_number": "541-812-5600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2650 Suzanne Way Ste 200",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974087619",
            "country_code": "US",
            "telephone_number": "541-228-3050",
            "fax_number": "541-228-3050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOVACEVIC",
        "first_name": "LUCI",
        "middle_name": "MARIO",
        "name_prefix": "Dr.",
        "credential": "M.D.,  M.P.H.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-26",
        "last_updated": "2026-03-20",
        "certification_date": "2026-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "OR",
            "license": "27466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lkovacevic191397@samhealth.direct-ci.com",
            "affiliation": "N",
            "address_1": "1100 7th Ave SW",
            "city": "Albany",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973211925",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Albany, OR

Sources for this page

Verify at the official NPI Registry.