DANIJELA MATAIC MD
NPI 1407895840
Internal Medicine - Nephrology in Duluth, MN
About Danijela Mataic Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DANIJELA MATAIC MD (NPI 1407895840) is an individual nephrology provider in Duluth, Minnesota, licensed in Minnesota (75244) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with St Lukes Hospital, and is a graduate of Other (1997).
NPPES Registry Identity
Specialties & Licenses
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
Danijela Mataic 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 Danijela Mataic reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Duluth, MN 55805
- Reassigned Medicare billing, Minnesota enrollment
- 513 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.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Lukes Hospital
Acute Care Hospitals · Duluth, MNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55805 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Danijela Mataic's NPI number?
The NPI number for Danijela Mataic is 1407895840. It was assigned to this individual provider in the NPPES registry on June 4, 2006.
Where is Danijela Mataic located?
Danijela Mataic practices at 915 E 1st St, Duluth, MN 55805. The listed phone number is (218) 249-5439.
What is Danijela Mataic's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.
Is Danijela Mataic enrolled in Medicare?
Yes. Danijela Mataic 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 Danijela Mataic's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Danijela Mataic reassigns Medicare benefits to St. Luke's Hospital Of Duluth (Duluth, MN). 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 Danijela Mataic's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Danijela Mataic accept?
Health plans from Aspirus Health Plan, HealthPartners and Security Health Plan list Danijela Mataic 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.
Is Danijela Mataic affiliated with any hospitals?
According to CMS data, Danijela Mataic is affiliated with St Lukes Hospital.
When was this NPI record last updated?
The NPPES record for Danijela Mataic was last updated on August 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Danijela Mataic, MD · NPI 1407895840
Nephrology physician in Duluth, Minnesota. Individual provider, active in the CMS NPPES registry since June 4, 2006.
## Identity
- **NPI:** 1407895840 (Entity type: Individual)
- **Enumerated:** June 4, 2006
- **Primary specialty:** Internal Medicine - Nephrology · taxonomy 207RN0300X
- **State license:** 75244 (Minnesota)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 915 E 1ST ST, Duluth, MN 55805-2107
- **Phone:** (218) 249-5439 · **Fax:** (218) 249-5624
## 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:** St. Luke's Hospital Of Duluth (NPI 1003860792, Duluth, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1997
## Record status
- **NPPES last updated:** August 30, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1407895840) · Data from the CMS NPPES public registry.