ALEKSANDRA VIDACIC MD
NPI 1629272224
Internal Medicine in San Angelo, TX
About Aleksandra Vidacic Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALEKSANDRA VIDACIC MD (NPI 1629272224) is an individual internal medicine provider in San Angelo, Texas, licensed in Texas (N4181) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS, is affiliated with Shannon Medical Center, and is a graduate of Other (2002).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 10
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
Aleksandra Vidacic 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 Reassignments
5Medicare enrollment records show Aleksandra Vidacic reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
San Angelo, TX 76903
- Reassigned Medicare billing, Texas enrollment
- 671 clinicians in this Medicare group
Austin, TX 78704
- Reassigned Medicare billing, Texas enrollment
Dallas, TX 75231
- Reassigned Medicare billing, Texas enrollment
- 1,208 clinicians in this Medicare group
Victoria, TX 77901
- Reassigned Medicare billing, Texas enrollment
- Medicare enrollment name: Citizens Medical Center County Of Victoria
- 171 clinicians in this Medicare group
Humble, TX 77338
- Reassigned Medicare billing, Texas enrollment
- 2,009 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 4
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 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Shannon Medical Center
Acute Care Hospitals · San Angelo, TXBallinger Memorial Hospital
Critical Access Hospitals · Ballinger, TXLillian M Hudspeth Memorial Hospital
Critical Access Hospitals · Sonora, TXHeart Of Texas Memorial Hospital
Critical Access Hospitals · Brady, TXAscension Seton Hays
Acute Care Hospitals · Kyle, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 76903 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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 Aleksandra Vidacic's NPI number?
The NPI number for Aleksandra Vidacic is 1629272224. It was assigned to this individual provider in the NPPES registry on June 14, 2007.
Where is Aleksandra Vidacic located?
Aleksandra Vidacic practices at 120 E Harris Ave, San Angelo, TX 76903. The listed phone number is (325) 653-6741.
What is Aleksandra Vidacic's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Aleksandra Vidacic enrolled in Medicare?
Yes. Aleksandra Vidacic 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 organizations bill Medicare for Aleksandra Vidacic's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Aleksandra Vidacic reassigns Medicare benefits to 5 organizations: Shannon Clinic (San Angelo, TX), Dr. Av, PLLC (Austin, TX), Cogent Healthcare Of Texas, PA (Dallas, TX), Citizen's Medical Center County Of Victoria (Victoria, TX) and Hospitalist Medicine Physicians Of Texas, PLLC (Humble, TX). Each 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 Aleksandra Vidacic's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Aleksandra Vidacic accept?
Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Aleksandra Vidacic 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 Aleksandra Vidacic affiliated with any hospitals?
According to CMS data, Aleksandra Vidacic is affiliated with Shannon Medical Center, Ballinger Memorial Hospital, Lillian M Hudspeth Memorial Hospital, Heart Of Texas Memorial Hospital and Ascension Seton Hays.
When was this NPI record last updated?
The NPPES record for Aleksandra Vidacic was last updated on December 2, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Aleksandra Vidacic, MD · NPI 1629272224
Internal Medicine physician in San Angelo, Texas. Individual provider, active in the CMS NPPES registry since June 14, 2007.
## Identity
- **NPI:** 1629272224 (Entity type: Individual)
- **Enumerated:** June 14, 2007
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** N4181 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 120 E HARRIS AVE, San Angelo, TX 76903-5904
- **Phone:** (325) 653-6741 · **Fax:** (325) 481-2166
## 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:** 5 organizations under Medicare reassignment (form CMS-855R): Shannon Clinic (NPI 1770587149, San Angelo, TX); Dr. Av, PLLC (NPI 1902236003, Austin, TX); Cogent Healthcare Of Texas, PA (NPI 1992722953, Dallas, TX); Citizen's Medical Center County Of Victoria (NPI 1205242088, Victoria, TX); Hospitalist Medicine Physicians Of Texas, PLLC (NPI 1629307095, Humble, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2002
## Record status
- **NPPES last updated:** December 2, 2014
- **Other identifiers:** Medicare PIN P00790376 (TX); Other 3864783243; Medicaid 206611002 (TX); and 7 more
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Source: [NPI Profile](https://npiprofile.com/npi/1629272224) · Data from the CMS NPPES public registry.