Provider Type Icon

MLADEN DJURASOVIC MD NPI 1609839257


NPI Information

NPI: 1609839257
Provider Name: MLADEN DJURASOVIC, MD
Classification: Orthopaedic Surgery - 207XS0117X
Entity Type: Individual

Specialization: Orthopaedic Surgery of the Spine

PECOS Registration: Yes

Address:
210 E GRAY ST
SUITE 900
LOUISVILLE, KY
ZIP 40202
Phone: (502) 584-7525
Get Directions

Mladen Djurasovic, MD is an orthopaedic surgery of the spine orthopaedic surgery in Louisville, KY with 30 years of experience. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. Mladen Djurasovic, MD NPI is 1609839257. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Graduation Year:1994

The provider's business location address is:

210 E GRAY ST
SUITE 900
LOUISVILLE, KY
ZIP 40202-900
Phone: (502) 584-7525
Fax: (502) 584-6851

The NPI 1609839257 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.

  • Fusion of spine bones, posterior or posterolateral approach (HCPCS:22614)
  • Insertion of posterior spinal instrumentation for spinal stabilization, 3 to 6 vertebral segments (HCPCS:22842)
  • Insertion of device into intervertebral disc space of spine and fusion of vertebrae (HCPCS:22853)
  • Physician certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial implem (HCPCS:G0180)

The enumeration date for this NPI number is 4/6/2006 and was last updated on 1/12/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207XS0117XOrthopaedic SurgeryOrthopaedic Surgery of the Spine36490KENTUCKYYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11148797OTHERKENTUCKYPASSPORT (SPINE INSTITUTE
2000000212609OTHERKENTUCKYANTHEM (UNIVERSITY ORTHOP
32481222OTHERKENTUCKYCIGNA- NORTON LEATHERMAN SPINE CENTER
42438491000OTHERKENTUCKYPASSPORT ADVANTAGE (UNIVE
550024960OTHERKENTUCKYPASSPORT- NORTON LEATHERMAN SPINE CENTER
6P00757244OTHERKENTUCKYRAILROAD MEDICARE- NORTON LEATHERMAN SPINE CENTER
7N302052OTHERINDIANAHARMONY (SPINE INSTITUTE)
8P00071772OTHERKENTUCKYRAILROAD MEDICARE (SPINE
91149201OTHERKENTUCKYPASSPORT (UNIVERSITY ORTH
1036123OTHERKENTUCKYCIGNA (SPINE INSTITUTE)
11000000628570OTHERKENTUCKYANTHEM- NORTON LEATHERMAN SPINE CENTER
1200533159OTHERKENTUCKYMEDICARE KENTUCKY- NORTON LEATHERMAN SPINE CENTER
13017207OTHERKENTUCKYSIHO- NORTON LEATHERMAN SPINE CENTER
142438480000OTHERKENTUCKYPASSPORT ADVANTAGE (SPINE
15000000212608OTHERKENTUCKYANTHEM (SPINE INSTITUTE)
160942470001OTHERKENTUCKYDMERC (SPINE INSTITUTE)
17200327760MEDICAIDINDIANA
1864036908MEDICAIDKENTUCKY
19000028412YOTHERKENTUCKYHUMANA- NORTON LEATHERMAN SPINE CENTER
20163722400OTHERKENTUCKYUS DEPT OF LABOR
213728036000OTHERKENTUCKYPASSPORT ADVANTAGE- NORTON LEATHERMAN SPINE CENTER

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.