LJUBOMIR M. ILIC MD NPI 1750348843

NPI Information

  • NPI: 1750348843
  • Provider Name: LJUBOMIR M. ILIC, MD
  • Classification: Internal Medicine - 207RN0300X
  • Specialization: Nephrology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 550 S LANDMARK AVE
    BLOOMINGTON, IN
    ZIP 47403
  • Phone: (812) 676-4660

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NPI Details

Ljubomir M. Ilic, MD is a nephrology internal medicine in Bloomington, IN with 26 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. Ljubomir M. Ilic, MD NPI is 1750348843. 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:

550 S LANDMARK AVE
BLOOMINGTON, IN
ZIP 47403-239
Phone: (812) 676-4660
Fax: (812) 676-4501

The NPI 1750348843 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.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Dialysis services, 4 or more physician visits per month (20 years or older) (HCPCS:90960)
  • Dialysis services, 2-3 physician visits per month (20 years or older) (HCPCS:90961)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Hemodialysis procedure with physician evaluation (HCPCS:90935)
  • Follow-up inpatient consultation, complex, physicians typically spend 35 minutes communicating with the patient via telehealth (HCPCS:G0408)
  • Telehealth consultation, emergency department or initial inpatient, typically 70 minutes or more communicating with the patient via telehealth (HCPCS:G0427)
  • Dialysis services, 1 physician visit per month (20 years or older) (HCPCS:90962)

The enumeration date for this NPI number is 5/1/2006 and was last updated on 12/29/2020.

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
1207R00000XInternal MedicineME133258FLORIDANo
2207RN0300XInternal MedicineNephrologyME133258FLORIDANo
3207RN0300XInternal MedicineNephrology01084851AINDIANAYes

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
12128438MEDICAIDMASSACHUSETTS

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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