Individual provider Active NPI

Nemanja Rodic, M.D., PH.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Washington, DC
National Provider Identifier
1821231887
Registry record updated Sep 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
ME131600 Issued in FL
Practice address
3605 38TH St NW
Apt#303
Washington, DC 20016-2922
Phone
(352) 256-5728
NPI assigned
Apr 7, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X ME131600 FL Primary

Addresses

Primary practice location

3605 38TH St NW
Apt#303
Washington, DC 20016-2922

Mailing address

3605 38TH St NW
Apt#303
Washington, DC 20016-2922
Phone (352) 256-5728

Other identifiers 1

IdentifierTypeStateIssuer
021443800MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME131600FLMDAnatomic Pathology & Clinical Pathology Physician

NPI Registry JSON

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

{
    "created_epoch": "1239062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505347200000",
    "number": "1821231887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3605 38TH ST NW",
            "address_2": "APT#303",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200162922",
            "telephone_number": "352-256-5728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3605 38TH ST NW",
            "address_2": "APT#303",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200162922",
            "telephone_number": "352-256-5728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODIC",
        "first_name": "NEMANJA",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-07",
        "last_updated": "2017-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "FL",
            "license": "ME131600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "021443800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.