Individual provider Active NPI

Dragan J Golijanin, M.D.

  • Urology Physician
  • Providence, RI
National Provider Identifier
1841304078
Registry record updated May 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
MD13767 Issued in RI
Practice address
2 Dudley St Ste 185
Providence, RI 02905-3247
Phone
(401) 421-0710
Fax
(401) 444-6947
NPI assigned
Aug 17, 2006
Last updated
May 25, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X MD13767 RI Primary

Addresses

Primary practice location

2 Dudley St Ste 185
Providence, RI 02905-3247

Mailing address

195 Collyer St Ste 201
Providence, RI 02904-1869
Phone (401) 272-7799

Other identifiers 3

IdentifierTypeStateIssuer
DG86261MedicaidRI
349005986OtherRIMEDICARE GROUP PTAN
1659463230OtherRIGROUP NPI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111117000389 RI Practitioner - Urology 4789720046 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rhode Island HospitalGroup PAC ID 8921900044, 430 clinicians
Lifespan Physician Group IncGroup PAC ID 2567455082, 1,151 clinicians
Brown Urology, Inc.Group PAC ID 7810254513, 32 clinicians

Practice addresses (Care Compare)

1454 S County TRL
East Greenwich, RI 02818-1749
Phone (401) 606-2000

164 Summit Ave
Providence, RI 02906-2853

185 A High Service Ave
North Providence, RI 02904-5114
Phone (401) 354-6050

185 High Service Ave
North Providence, RI 02904-5114
Phone (401) 354-6050

195 Collyer St
Providence, RI 02904-1869

450 Veterans Memorial Pkwy
East Providence, RI 02914-5300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair (minimally invasive)1-10
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD13767RIMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lifespan Physician Group, Inc. CurrentSince Jan 1, 2026 Accepting new patients
Brown Urology, Inc. CurrentSince Oct 1, 2017 Accepting new patients
Brown Urology, Inc. Urology CurrentSince Oct 1, 2017 Accepting new patients
Rhode Island Hospital CurrentSince Aug 25, 2013 Accepting new patients
Brown Urology, Inc. Urology Current Accepting new patients
Lifespan Physician Group, Inc. CurrentSince Jan 1, 2026 Accepting new patients
Rhode Island Hospital CurrentSince Aug 25, 2013 Accepting new patients
The Miriam Hospital Past Accepting new patients
Rhode Island Hospital Past Accepting new patients

Locations

1454 S County Trl
Ste 2100
East Greenwich, RI 02818
Phone (401) 606-2000

450 Veterans Memorial Pkwy
Ste 14
East Providence, RI 02914
Phone (401) 435-8486

185A High Service Ave
North Providence, RI 02904
Phone (401) 354-6050

195 Collyer St
Ste 104
Providence, RI 02904
Phone (401) 276-2026

195 Collyer St
Ste 201
Providence, RI 02904
Phone (401) 421-0710

2 Dudley St
Ste 175
Providence, RI 02905
Phone (401) 421-0710

2 Dudley St
Ste 185
Providence, RI 02905
Phone (401) 273-8900

593 Eddy St
Providence, RI 02903

827 N Main St
Ste 4
Providence, RI 02904
Phone (401) 276-2060

Organizations & group practices 10

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.

Hospital & facility affiliations 8

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": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337904000000",
    "number": "1841304078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 COLLYER ST STE 201",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029041869",
            "telephone_number": "401-272-7799",
            "fax_number": "401-272-9299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 DUDLEY ST STE 185",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029053247",
            "telephone_number": "401-421-0710",
            "fax_number": "401-444-6947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLIJANIN",
        "first_name": "DRAGAN",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2012-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "RI",
            "license": "MD13767",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DG86261",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "349005986",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1659463230",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.