NPIMap

Organization Active NPI

Milan P. Krickovic, M.D., LTD.

  • Internal Medicine Physician
  • Richmond, VA
National Provider Identifier
1952632440
Registry record updated Jan 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MILAN P. KRICKOVIC, M.D., LTD.
Practice address
7605 Forest Ave
Suite 109
Richmond, VA 23229-4938
Phone
(804) 288-8313
Fax
(804) 287-4365
NPI assigned
Jan 22, 2010
Last updated
Jan 22, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2010

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

Authorized official

Name
Dr. Milan Piersol Krickovic, M.D.
Title
President of Corporation/Physician
Phone
(804) 288-8313

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X

Addresses

Primary practice location

7605 Forest Ave
Suite 109
Richmond, VA 23229-4938

Mailing address

7605 Forest Ave
Suite 109
Richmond, VA 23229-4938
Phone (804) 288-8313

Other identifiers 3

IdentifierTypeStateIssuer
4390080OtherVAAETNA
0510927OtherVAAETNA HMO
6081070MedicaidVA

National Provider Directory

National Provider Directory

Locations

7605 Forest Ave
Ste 109
Richmond, VA 23229
Phone (804) 285-6390

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1264118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264118400000",
    "number": "1952632440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7605 FOREST AVE",
            "address_2": "SUITE 109",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232294938",
            "telephone_number": "804-288-8313",
            "fax_number": "804-287-4365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7605 FOREST AVE",
            "address_2": "SUITE 109",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232294938",
            "telephone_number": "804-288-8313",
            "fax_number": "804-287-4365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILAN P. KRICKOVIC, M.D., LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-22",
        "last_updated": "2010-01-22",
        "status": "A",
        "authorized_official_last_name": "KRICKOVIC",
        "authorized_official_first_name": "MILAN",
        "authorized_official_middle_name": "PIERSOL",
        "authorized_official_title_or_position": "PRESIDENT OF CORPORATION/PHYSICIAN",
        "authorized_official_telephone_number": "804-288-8313",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4390080",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "0510927",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6081070",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.