NATHAN VANDJELOVIC
NPI 1396086286
Otolaryngology in Detroit, MI

Q: 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.

Q: What is Nathan Vandjelovic's specialty?

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

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: October 25, 2026.

On this page

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

Phone(313) 745-5147

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)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

4201 SAINT ANTOINE ST # 9C, Detroit, MI 48201

Open in Google Maps ↗

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

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.

Medicare Billing Reassignments

Medicare enrollment records show Nathan Vandjelovic reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Rochester

281 mi

Primary Care

738 LIBRARY RD., 270617
Rochester, NY 14627

Reassigned Medicare billing, New York enrollment
1,624 clinicians in this Medicare group

NPI 1548583305 (585) 275-2662

Pediatric Allergy Of Pulmonary

281 mi

Pediatric Pulmonology

601 ELMWOOD AVE, BOX 635
Rochester, NY 14642

Reassigned Medicare billing, New York enrollment
61 clinicians in this Medicare group

NPI 1013952688 (585) 275-7787

University Of Rochester Pediatric Otolaryngology Associates

281 mi

Pediatric Otolaryngology

601 ELMWOOD AVE
Rochester, NY 14642

Reassigned Medicare billing, New York enrollment
8 clinicians in this Medicare group

NPI 1295984532 (585) 758-7671

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

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.

DR. STEPHANIE NICOLE STEVENS MD

Anesthesiology