Individual provider Active NPI

Nikola Zivaljevic, M.D.

  • Orthopaedic Hand Surgery Physician
  • Dallas, TX
National Provider Identifier
1467698332
Registry record updated Dec 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
P8333 Issued in TX
Practice address
12230 Coit Rd
Suite 100
Dallas, TX 75251-2322
Phone
(214) 252-7039
Fax
(214) 252-7025
NPI assigned
Dec 26, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 254109 MA
Orthopaedic Surgery Physician 207X00000X P8333 TX
Orthopaedic Hand Surgery Physician 207XS0106X P8333 TX Primary

Addresses

Primary practice location

12230 Coit Rd
Suite 100
Dallas, TX 75251-2322

Mailing address

12230 Coit Rd
Suite 100
Dallas, TX 75251-2322
Phone (214) 252-7039

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20141009002408 TX Practitioner - Orthopedic Surgery 6800030685 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 1997
Medicare assignment
May accept Medicare assignment
Group practices
Lankford Hand Surgery AssociationGroup PAC ID 2163582420, 3 clinicians

Practice addresses (Care Compare)

8220 Walnut Hill LN
BLDG 2 Suite 514
Dallas, TX 75231-4433
Phone (214) 823-5351

Hospital & facility affiliations

  • Medical City Plano Hospital, Plano, TX, CCN 450651
  • Medical Center of McKinney Hospital, McKinney, TX, CCN 450403

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue16

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
254109MAMDOrthopaedic Surgery Physician
P8333TXMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lankford Hand Surgery Association CurrentSince Jun 1, 2016 Accepting new patients

Locations

8220 Walnut Hill Ln
Ste 514
Dallas, TX 75231
Phone (214) 345-4595

Organizations & group practices 1

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": "1230249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417564800000",
    "number": "1467698332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12230 COIT RD",
            "address_2": "SUITE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752512322",
            "telephone_number": "214-252-7039",
            "fax_number": "214-252-7025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12230 COIT RD",
            "address_2": "SUITE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752512322",
            "telephone_number": "214-252-7039",
            "fax_number": "214-252-7025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIVALJEVIC",
        "first_name": "NIKOLA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-12-26",
        "last_updated": "2014-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MA",
            "license": "254109",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "P8333",
            "primary": false
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "TX",
            "license": "P8333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.