Individual provider Active NPI

Nebojsa Nash Mitrovic, MD

  • Internal Medicine Physician
  • Franklin, VA
National Provider Identifier
1528150224
Registry record updated Oct 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101056952 Issued in VA
Practice address
206 Stewart Dr
Franklin, VA 23851-2456
Phone
(757) 562-7575
Fax
(757) 562-7555
NPI assigned
Sep 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101056952 VA Primary

Addresses

Primary practice location

206 Stewart Dr
Franklin, VA 23851-2456

Mailing address

206 Stewart Dr
Franklin, VA 23851-2456
Phone (757) 562-7575

Other identifiers 2

IdentifierTypeStateIssuer
005880998MedicaidVA
461266OtherBLUE CROSS/BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20080402000776 VA Practitioner - Internal Medicine 7012094949 Practice locations: Franklin, VA

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

206 Stewart Dr
Franklin, VA 23851-2456
Phone (757) 562-7575

Hospital & facility affiliations

National Provider Directory

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

Hospital & facility affiliations 4

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": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412380800000",
    "number": "1528150224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 STEWART DR",
            "city": "FRANKLIN",
            "state": "VA",
            "postal_code": "238512456",
            "telephone_number": "757-562-7575",
            "fax_number": "757-562-7555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 STEWART DR",
            "city": "FRANKLIN",
            "state": "VA",
            "postal_code": "238512456",
            "telephone_number": "757-562-7575",
            "fax_number": "757-562-7555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITROVIC",
        "first_name": "NEBOJSA",
        "middle_name": "NASH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2014-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101056952",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005880998",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "461266",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, VA

Sources for this page

Verify at the official NPI Registry.