Active NPI
Amila Orucevic, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Brentwood, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 42408
- Practice address
- 5301 Virginia Way
Suite 300
Brentwood, TN 37027-7541 - Phone
- (615) 221-4474
- Fax
- (615) 234-3774
- NPI assigned
- Apr 2, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 036-104580 | IL | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 42408 | TN | Primary |
Addresses
Primary practice location
5301 Virginia Way
Suite 300
Brentwood, TN 37027-7541
Mailing address
5301 Virginia Way
Suite 300
Brentwood, TN 37027-7541
Phone (615) 221-4474
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3000156 | Medicaid | TN | |
| 268706352A | Medicaid | GA | |
| 5909293 | Medicaid | NC | |
| 01153031 | Other | TN | AMERIGROUP |
| 4157726 | Other | TN | BLUE CROSS BLUE SHIELD |
| 426169 | Other | GA | WELLCARE GA |
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
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
5301 Virginia Way
Suite 300
Brentwood, TN 37027-7542
8085 Rivers Ave
Suite 100
North Charleston, SC 29406-9239
PO Box
Suite 30309
Charleston, SC 39417-0309
Hospital & facility affiliations
- University Health System, Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-104580 | IL | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pathgroup Labs, LLC | Past | Accepting new patients | |
| Associated Pathologists LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Medical Laboratory
- Nashville, TN
- NPI 1124075635
-
- Clinical Medical Laboratory
- Nashville, TN
- NPI 1235186800
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Knoxville, TN
- NPI 1538164090
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1218067200000",
"number": "1831219708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5301 VIRGINIA WAY",
"address_2": "SUITE 300",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370277541",
"telephone_number": "615-221-4474",
"fax_number": "615-234-3774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5301 VIRGINIA WAY",
"address_2": "SUITE 300",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370277541",
"telephone_number": "615-221-4474",
"fax_number": "615-234-3774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORUCEVIC",
"first_name": "AMILA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-02",
"last_updated": "2008-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "IL",
"license": "036-104580",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "TN",
"license": "42408",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3000156",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "268706352A",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5909293",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "01153031",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "4157726",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE GA",
"identifier": "426169",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brentwood, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2008; 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.