MR. ANDRE SMILJIC
NPI 1730522954
Pediatrics in Antioch, CA

Q: What is Andre Smiljic's NPI number?

The NPI number for Andre Smiljic is 1730522954. It was assigned to this individual provider in the NPPES registry on April 8, 2013.

Q: What is Andre Smiljic's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Andre Smiljic was last updated on December 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since April 08, 2013PECOS Enrolled

4501 SAND CREEK RD, ANTIOCH, CA 94531(925) 813-6500 Get Directions Write a Review

NPPES record last updated: December 17, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 17, 2021, Aug 26, 2018 (2 updates tracked since 2018).

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About Mr. Andre Smiljic NPPES

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

MR. ANDRE SMILJIC (NPI 1730522954) is an individual pediatrics provider in Antioch, California, licensed in California (A154793) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730522954

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameMR. ANDRE SMILJIC

Location Address4501 SAND CREEK RDAntioch, CA 94531-8687

Mailing Address4501 Sand Creek RdAntioch, CA 94531-8687 · (925) 813-6500

Phone(925) 813-6500

Sole ProprietorNo

Enumeration DateApril 8, 2013

Last NPPES UpdateDecember 17, 20212 updates tracked since enumeration

✔ NPI 1730522954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in CA · A154793

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

4501 SAND CREEK RD, Antioch, CA 94531

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Andre Smiljic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 94531 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

$104.51 typical visit price

range $69.00 – $202.35

Typical copayment $26.12 (range $17.25 – $50.58)

Most-billed visit code 99203

Established Patient

$119.48 typical visit price

range $23.44 – $166.46

Typical copayment $29.87 (range $5.86 – $41.61)

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.

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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.

KRISTEN ASAKO SHIMODA PHARMD

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)