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

Q: 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.

Q: What is Larisa Kovacevic's specialty?

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

Q: 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.

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: October 18, 2026.

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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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Larisa Kovacevic reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Vhs Physicians Of Michigan

16 mi

Internal Medicine

29201 TELEGRAPH RD STE 404N
Southfield, MI 48034

Reassigned Medicare billing, Michigan enrollment
407 clinicians in this Medicare group

NPI 1073827101 (248) 450-3507

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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)