LJUBISA MICIC M.D. NPI 1750395000

NPI Information

  • NPI: 1750395000
  • Provider Name: LJUBISA MICIC, M.D.
  • Classification: Internal Medicine - 207RN0300X
  • Specialization: Nephrology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2604 169TH ST
    FLUSHING, NY
    ZIP 11358
  • Phone: (347) 438-1950

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NPI Details

Ljubisa Micic, M.D. is a nephrology internal medicine in Flushing, NY with 38 years of experience. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. Ljubisa Micic, M.D. NPI is 1750395000. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2604 169TH ST
FLUSHING, NY
ZIP 11358-131
Phone: (347) 438-1950
Fax: (347) 438-1951

The NPI 1750395000 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Dialysis services, 4 or more physician visits per month (20 years or older) (HCPCS:90960)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Dialysis services, per day, less than full month service (20 years or older) (HCPCS:90970)
  • Hemodialysis procedure with physician evaluation (HCPCS:90935)
  • Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)
  • Dialysis services, 2-3 physician visits per month (20 years or older) (HCPCS:90961)
  • Initial nursing facility visit per day, typically 25 minutes (HCPCS:99304)

The enumeration date for this NPI number is 7/29/2006 and was last updated on 5/9/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RN0300XInternal MedicineNephrology212787NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
101894586MEDICAIDNEW YORK
2G60888MEDICARE UPINNEW YORK
307357MEDICARE ID-TYPE UNSPECIFIEDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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