TATJANA MARIC MD
NPI 1164712055
Psychiatry & Neurology - Child & Adolescent Psychiatry in Grand Rapids, MI
About Tatjana Maric Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TATJANA MARIC MD (NPI 1164712055) is an individual child & adolescent psychiatry provider in Grand Rapids, Michigan, licensed in Michigan (1164712055) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS and is a graduate of Other (1999).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Tatjana Maric Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Tatjana Maric reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Grand Rapids, MI 49548
- Reassigned Medicare billing, Michigan enrollment
- 147 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Tatjana Maric's NPI number?
The NPI number for Tatjana Maric is 1164712055. It was assigned to this individual provider in the NPPES registry on April 12, 2011.
Where is Tatjana Maric located?
Tatjana Maric practices at 420 Baltimore Dr NE, Grand Rapids, MI 49503. The listed phone number is (323) 633-3503.
What is Tatjana Maric's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.
Is Tatjana Maric enrolled in Medicare?
Yes. Tatjana Maric is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Tatjana Maric's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tatjana Maric reassigns Medicare benefits to Pine Rest Christian Mental Health Services (Grand Rapids, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tatjana Maric's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tatjana Maric 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 1 other insurer list Tatjana Maric 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 Tatjana Maric was last updated on February 15, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Tatjana Maric, MD · NPI 1164712055
Child & Adolescent Psychiatry physician in Grand Rapids, Michigan. Individual provider, active in the CMS NPPES registry since April 12, 2011.
## Identity
- **NPI:** 1164712055 (Entity type: Individual)
- **Enumerated:** April 12, 2011
- **Primary specialty:** Psychiatry & Neurology - Child & Adolescent Psychiatry · taxonomy 2084P0804X
- **State license:** 1164712055 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 420 BALTIMORE DR NE, Grand Rapids, MI 49503-3934
- **Phone:** (323) 633-3503
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Pine Rest Christian Mental Health Services (NPI 1700894623, Grand Rapids, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1999
## Record status
- **NPPES last updated:** February 15, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1164712055) · Data from the CMS NPPES public registry.