Active NPI
Nebojsa Nash Mitrovic, MD
- Internal Medicine Physician
- Franklin, VA
National Provider Identifier
1528150224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 0101056952
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 005880998 | Medicaid | VA | |
| 461266 | Other | BLUE 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.
-
- General Acute Care Hospital
- Franklin, VA
- NPI 1851936983
-
- General Acute Care Hospital
- Suffolk, VA
- NPI 1376540138
-
- General Acute Care Hospital
- Norfolk, VA
- NPI 1437119310
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2014; 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.