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DR. LARISA GABRIELA KOVACEVIC M.D.
NPI 1063688760
Pediatrics - Pediatric Nephrology in Detroit, MI

Active since May 02, 2008PECOS Enrolled
3901 BEAUBIEN ST, DETROIT, MI 48201(313) 745-5505 Get Directions Write a Review

NPPES record last updated: May 2, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Larisa Gabriela Kovacevic M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LARISA GABRIELA KOVACEVIC M.D. (NPI 1063688760) is an individual pediatric nephrology provider in Detroit, Michigan, licensed in Michigan (4301083506) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063688760
Entity TypeIndividualFemale
Primary Taxonomy2080P0210X
Provider Legal NameDR. LARISA GABRIELA KOVACEVICCredential: M.D.
Location Address3901 BEAUBIEN STDetroit, MI 48201-2119
Mailing Address1835 Van Courtland DrTroy, MI 48083-1881 · (248) 743-0114
Phone(313) 745-5505
Sole ProprietorNo
Enumeration DateMay 2, 2008
✔ NPI 1063688760 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0210X
License✔ Licensed in MI · 4301083506
Definition
A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy.
3901 BEAUBIEN ST, Detroit, MI 48201
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Larisa Gabriela Kovacevic M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KAROLINA MAKSIMOWSKI
Pediatrics (Pediatric Emergency Medicine)
3901 BEAUBIEN ST
DETROIT, MI 48201
Wayne County (313) 745-5260
BROOKE ALISON BENOWITZ
Student in an Organized Health Care Education/Training Program
3901 BEAUBIEN ST
DETROIT, MI 48201
Wayne County (313) 745-4883
NUTRENA TATE CNP
Nurse Practitioner (Pediatrics)
3901 BEAUBIEN ST
DETROIT, MI 48201
Wayne County (313) 745-5437
DR. RUPA THACKER M.D
Pediatrics
3901 BEAUBIEN ST
DETROIT, MI 48201
Wayne County (313) 745-5533
SYBRENA EVANS
Physician Assistant (Surgical)
3901 BEAUBIEN ST
DETROIT, MI 48201
Wayne County (313) 833-4490
JOSHUA KIM DO
Pediatrics
3901 BEAUBIEN ST
DETROIT, MI 48201
Wayne County (313) 745-5870
HANNAH L MORELLO MSN, RN
Nurse Practitioner (Pediatrics)
3901 BEAUBIEN ST
DETROIT, MI 48201
Wayne County (543) 731-3745
ERIC MARC ESHMAN PHARM.D.
Pharmacist
3901 BEAUBIEN ST
DETROIT, MI 48201
Wayne County (313) 966-0414

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Larisa Kovacevic's NPI number?

The NPI number for Larisa Kovacevic is 1063688760. It was assigned to this individual provider in the NPPES registry on May 2, 2008.

Where is Larisa Kovacevic located?

Larisa Kovacevic practices at 3901 Beaubien St, Detroit, MI 48201. The listed phone number is (313) 745-5505.

What is Larisa Kovacevic's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Nephrology, with taxonomy code 2080P0210X.

Is Larisa Kovacevic enrolled in Medicare?

Yes. Larisa Kovacevic is registered in the Medicare PECOS enrollment system.

What insurance does Larisa Kovacevic accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 3 other insurers list Larisa Kovacevic as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Larisa Kovacevic was last updated on May 2, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.