NPIMap

Individual provider Active NPI

Niksa Vlasic, M.D.

  • Diagnostic Radiology Physician
  • Ishpeming, MI
National Provider Identifier
1669449625
Registry record updated Sep 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
4301073874 Issued in MI
Practice address
901 Lakeshore Dr
Ishpeming, MI 49849-1367
Phone
(906) 486-4431
NPI assigned
Mar 8, 2006
Last updated
Sep 18, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 207073-1 NY
Diagnostic Radiology Physician 2085R0202X 4301073874 MI Primary

Addresses

Primary practice location

901 Lakeshore Dr
Ishpeming, MI 49849-1367

Mailing address

2837 US 41 W
Marquette, MI 49855-2252
Phone (906) 225-3964

Other identifiers 1

IdentifierTypeStateIssuer
02198052MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130204000206 MI Practitioner - Diagnostic Radiology 2264521236 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Helen Newberry Joy HospitalGroup PAC ID 5799671285, shared by 7 NPIs, 36 clinicians
Upper Peninsula Imaging PCGroup PAC ID 0941469456, 3 clinicians
Bell Physician Practices IncGroup PAC ID 4981833654, 23 clinicians

Practice addresses (Care Compare)

502 W Harrie St
Newberry, MI 49868-1209
Phone (906) 293-9200

901 Lakeshore Dr
Ishpeming, MI 49849-1367
Phone (906) 485-2744

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal28

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
207073-1NYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bell Physician Practices Inc CurrentSince Jul 1, 2017 Accepting new patients
Helen Newberry Joy Hospital & Healthcare Center CurrentSince Apr 14, 2025 Accepting new patients
Helen Newberry Joy Hospital & Healthcare Center Current Accepting new patients
Baraga County Memorial Hospital Diagnostic Radiology CurrentSince Nov 1, 2025 Accepting new patients
Baraga County Memorial Hospital CurrentSince Nov 1, 2025 Accepting new patients
Bell Physician Practices Inc CurrentSince Jul 1, 2017 Accepting new patients
Upper Peninsula Imaging PC Diagnostic Radiology CurrentSince Nov 1, 2013 Accepting new patients
Superior Mobile Diagnostics LLC CurrentSince Oct 1, 2022 Accepting new patients
Baraga County Memorial Hospital Current Accepting new patients
Baraga County Memorial Hospital CurrentSince Nov 1, 2025 Accepting new patients
Helen Newberry Joy Hospital & Healthcare Center Current Accepting new patients
Associated Radiologists of the Finger Lakes PC Diagnostic Radiology Past Accepting new patients
Acquisition Bell Hospital LLC Past Accepting new patients

Locations

901 Lakeshore Dr
Ishpeming, MI 49849
Phone (906) 485-2653

18341 US Highway 41
Lanse, MI 49946
Phone (906) 524-3300

2833 US Highway 41 W
Marquette, MI 49855

2837 US Highway 41 W
Marquette, MI 49855
Phone (906) 225-3964

502 W Harrie St
Newberry, MI 49868
Phone (906) 293-9131

Interoperability endpoints

  • Direct secure messaging: niksa.vlasic.1@8233.direct.athenahealth.com

Organizations & group practices 13

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 13

Hospital & facility affiliations 5

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": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379462400000",
    "number": "1669449625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2837 US 41 W",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498552252",
            "telephone_number": "906-225-3964",
            "fax_number": "906-226-3875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 LAKESHORE DR",
            "city": "ISHPEMING",
            "state": "MI",
            "postal_code": "498491367",
            "telephone_number": "906-486-4431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VLASIC",
        "first_name": "NIKSA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2013-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "207073-1",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "4301073874",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02198052",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ishpeming, MI

Sources for this page

Verify at the official NPI Registry.