Caesar Marcelo Ursic, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

MD2005-0735 Issued in NM

Practice address

1631 Hospital Dr
Suite 240
Santa Fe, NM 87505-4728

Phone

(505) 954-8728

NPI assigned

Mar 9, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Enrolled in HI

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

Specialty

General Surgery

Education

Baylor College of Medicine, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Maui Trauma Surgeons LLPGroup PAC ID 9537555610, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Maui Memorial Medical Center Hospital, Wailuku, HI, CCN 120002

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Caesar M Ursic LLC

  • Surgery Physician
  • Wailuku, HI
  • NPI 1740970524
  Medicare reassignment NPD Authorized official
• Maui Trauma Surgeons LLP

  • Surgery Physician
  • Wailuku, HI
  • NPI 1063025971
  Medicare reassignment Care Compare group NPD
• Maui Health System a Kaiser Foundation Hospitals LLC

  • General Acute Care Hospital
  • Wailuku, HI
  • NPI 1013379460
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Maui Health System a Kaiser Foundation Hospitals LLC

  • General Acute Care Hospital
  • Wailuku, HI
  • NPI 1013379460
  Care Compare affiliation

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197417600000",
    "number": "1891763652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 SAINT MICHAELS DR",
            "address_2": "MEDICAL STAFF OFFICE",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875057601",
            "telephone_number": "505-820-5227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1631 HOSPITAL DR",
            "address_2": "SUITE 240",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054728",
            "telephone_number": "505-954-8728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URSIC",
        "first_name": "CAESAR",
        "middle_name": "MARCELO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2007-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NM",
            "license": "MD2005-0735",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOLINA",
            "identifier": "QMYPR0071514",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LOVELACE",
            "identifier": "10024240",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32428766",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CCN",
            "identifier": "742912",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "2587220",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRESBYTERIAN HEALTH PLANS",
            "identifier": "202004080",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NM",
            "identifier": "NM009X45",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chip Upsal, RN
• Ingrid Upton, P.T.
• Edward Joseph Urig Jr., DMD MS
• Alicia Maria Urioste, PROVISIONAL LMSW
• Victoria Katherine Urquidez
• Oleg Uryasev
• Taylor L Usitalo, DDS
• V Chiropractic and Rehabilitation LLC
• Vaida M. Stoik MD PC
• Aylin Guadalupe Valdez

• Surgery Physician in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Surgery Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2007; 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.

Verify at the official NPI Registry.