NATHAN VANDJELOVIC
NPI 1396086286
Otolaryngology in Detroit, MI

Active since March 03, 2013PECOS EnrolledAccepts Medicare Assignment
4201 SAINT ANTOINE ST # 9C, DETROIT, MI 48201(313) 745-5147(313) 966-0880 Get Directions Write a Review

NPPES record last updated: June 30, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Nathan Vandjelovic NPPES

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

NATHAN VANDJELOVIC (NPI 1396086286) is an individual otolaryngology provider in Detroit, Michigan, licensed in Michigan (5101020558) and active in the NPI registry since March 2013. He is enrolled in Medicare PECOS, is affiliated with Strong Memorial Hospital, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1396086286
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameNATHAN VANDJELOVIC
Location Address4201 SAINT ANTOINE ST # 9CDetroit, MI 48201-2153
Mailing Address875s Brys DrGrosse Pointe Woods, MI 48236-1209 · (804) 929-2964
Fax(313) 966-0880
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateMarch 3, 2013
Last NPPES UpdateJune 30, 2023
NPI 1396086286 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in MI · 5101020558
Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

Also ListedPediatrics · Pediatric PulmonologyTaxonomy 2080P0214X · License 297940 (NY)
4201 SAINT ANTOINE ST # 9C, Detroit, MI 48201

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Nathan Vandjelovic 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.

PECOS PAC ID3274834973
PECOS Enrollment IDI20190801001540
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Strong Memorial Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330285
Location601 Elmwood AveRochester, NY 14642 · Monroe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Anesthesiology
4201 SAINT ANTOINE ST # 9C
DETROIT, MI 48201
Emergency Medicine
4201 SAINT ANTOINE ST # 9C
DETROIT, MI 48201
Student in an Organized Health Care Education/Training Program
4201 SAINT ANTOINE ST # 9C
DETROIT, MI 48201
Student in an Organized Health Care Education/Training Program
4201 SAINT ANTOINE ST # 9C
DETROIT, MI 48201
Student in an Organized Health Care Education/Training Program
4201 SAINT ANTOINE ST # 9C
DETROIT, MI 48201
Student in an Organized Health Care Education/Training Program
4201 SAINT ANTOINE ST # 9C
DETROIT, MI 48201
Student in an Organized Health Care Education/Training Program
4201 SAINT ANTOINE ST # 9C
DETROIT, MI 48201
Student in an Organized Health Care Education/Training Program
4201 SAINT ANTOINE ST # 9C
DETROIT, MI 48201

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 Nathan Vandjelovic's NPI number?

The NPI number for Nathan Vandjelovic is 1396086286. It was assigned to this individual provider in the NPPES registry on March 3, 2013.

Where is Nathan Vandjelovic located?

Nathan Vandjelovic practices at 4201 Saint Antoine St # 9C, Detroit, MI 48201. The listed phone number is (313) 745-5147.

What is Nathan Vandjelovic's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Nathan Vandjelovic enrolled in Medicare?

Yes. Nathan Vandjelovic 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.

Is Nathan Vandjelovic affiliated with any hospitals?

According to CMS data, Nathan Vandjelovic is affiliated with Strong Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Nathan Vandjelovic was last updated on June 30, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.