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PETAR VUKASIN M D INC
NPI 1528359304
Colon & Rectal Surgery in Glendale, CA

Active since April 27, 2011
222 W EULALIA ST STE 100A, GLENDALE, CA 91204(818) 244-8161(818) 244-5122 Get Directions Write a Review

NPPES record last updated: April 27, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Petar Vukasin M D Inc NPPES

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

PETAR VUKASIN M D INC (NPI 1528359304) is a healthcare organization registered as a colon & rectal surgery in Glendale, California and active in the NPI registry since April 2011. The organization lists Petar Vukasin, Owner, as its authorized official.

NPPES Registry Identity

NPI1528359304
Entity TypeOrganization
Primary Taxonomy208C00000X
Legal Business NamePETAR VUKASIN M D INC
Location Address222 W EULALIA ST STE 100AGlendale, CA 91204-2850
Mailing Address222 W. Eulalia St Ste 100aGlendale, CA 91204-2508 · (818) 244-8161 · Fax (818) 244-5122
Phone(818) 244-8161
Fax(818) 244-5122
Organization SubpartNo
Authorized OfficialPetar VukasinOwner · (818) 244-8161
Enumeration DateApril 27, 2011
✔ NPI 1528359304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208C00000X
License✔ Licensed in CA · G74237
Definition
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
Also ListedSurgeryTaxonomy 208600000X · License G74237 (CA)
222 W EULALIA ST STE 100A, Glendale, CA 91204
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Petar Vukasin M D Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Petar Vukasin M D Inc, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Dena Nasir, MD
Colorectal Surgery (Proctology)
NPI 1083272819
222 W EULALIA ST
Glendale, CA 91204
(818) 730-3726
✔ PECOS✔ Accepts Medicare0.7 mi
Anamaria Mcelrath Garza, M.D.
Colorectal Surgery (Proctology)
NPI 1720289044
222 W EULALIA ST SUITE 100A
Glendale, CA 91204
(818) 244-8161
✔ PECOS✔ Accepts Medicare0.7 mi
Petar Vukasin, M.D.
Colorectal Surgery (Proctology)
NPI 1659385516
222 W EULALIA ST SUITE 100A
Glendale, CA 91204
(818) 244-8161
✔ PECOS✔ Accepts Medicare0.7 mi

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 Petar Vukasin M D Inc's NPI number?

The NPI number for Petar Vukasin M D Inc is 1528359304. It was assigned to this organization in the NPPES registry on April 27, 2011.

Where is Petar Vukasin M D Inc located?

Petar Vukasin M D Inc is located at 222 W Eulalia St Ste 100A, Glendale, CA 91204. The listed phone number is (818) 244-8161.

What is Petar Vukasin M D Inc's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Is Petar Vukasin M D Inc enrolled in Medicare?

Yes. Petar Vukasin M D Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Petar Vukasin M D Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Colorectal Surgery (Proctology), reassign their Medicare billing to Petar Vukasin M D Inc. A 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 the clinician's services. Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Petar Vukasin M D Inc was last updated on April 27, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.