NIKOLA TANASIJEVIC MD
NPI 1558089789
Internal Medicine in Sikeston, MO

Q: What is Nikola Tanasijevic's NPI number?

The NPI number for Nikola Tanasijevic is 1558089789. It was assigned to this individual provider in the NPPES registry on August 15, 2022.

Q: What is Nikola Tanasijevic's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since August 15, 2022PECOS Enrolled

1008 N MAIN ST, SIKESTON, MO 63801(573) 471-1600 Get Directions Write a Review

NPPES record last updated: November 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 17, 2025, Aug 15, 2022 (2 updates tracked since 2022).

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About Nikola Tanasijevic Md NPPES

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

NIKOLA TANASIJEVIC MD (NPI 1558089789) is an individual internal medicine provider in Sikeston, Missouri, licensed in Missouri (2025035169) and active in the NPI registry since August 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1558089789

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameNIKOLA TANASIJEVICCredential: MD

Location Address1008 N MAIN STSikeston, MO 63801-5044

Mailing Address1008 N Main StSikeston, MO 63801-5044 · (573) 471-1600

Phone(573) 471-1600

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateAugust 15, 2022

Last NPPES UpdateNovember 17, 20252 updates tracked since enumeration

NPPES CertifiedNovember 17, 2025

✔ NPI 1558089789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in MO · 2025035169

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1008 N MAIN ST, Sikeston, MO 63801

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nikola Tanasijevic Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5193216273

PECOS Enrollment IDI20251117002552

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63801 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

$121.96 typical visit price

range $52.28 – $161.24

Typical copayment $30.49 (range $13.07 – $40.31)

Most-billed visit code 99204

Established Patient

$93.24 typical visit price

range $16.30 – $131.05

Typical copayment $23.31 (range $4.07 – $32.76)

Most-billed visit code 99214

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.

ERICA LEIGH WILSON APRN, FNP-BC

Nurse Practitioner (Family)