Organization Active NPI

Djurovic Medical Clinic,P.C.

  • Internal Medicine Physician
  • Merrillville, IN
National Provider Identifier
1639228075
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
01026620 Issued in IN
Legal business name
DJUROVIC MEDICAL CLINIC,P.C.
Practice address
155 W 86TH Ave Ste C
Merrillville, IN 46410-6192
Phone
(219) 769-3233
NPI assigned
Jan 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Nadezda Djurovic
Title
MD
Phone
(219) 769-3233

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 01026620 IN Primary

Addresses

Primary practice location

155 W 86TH Ave Ste C
Merrillville, IN 46410-6192

Mailing address

155 W 86TH Ave Ste C
Merrillville, IN 46410-6192
Phone (219) 769-3233

National Provider Directory

National Provider Directory

Locations

155 W 86th Ave
Ste C
Merrillville, IN 46410
Phone (219) 769-3233

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639228075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 W 86TH AVE STE C",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464106192",
            "telephone_number": "219-769-3233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 W 86TH AVE STE C",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464106192",
            "telephone_number": "219-769-3233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DJUROVIC MEDICAL CLINIC,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DJUROVIC",
        "authorized_official_first_name": "NADEZDA",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "219-769-3233"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01026620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrillville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.