LJUBOMIR M ILIC MD
NPI 1750348843
Internal Medicine - Nephrology in Bloomington, IN

Q: What is Ljubomir Ilic's NPI number?

The NPI number for Ljubomir Ilic is 1750348843. It was assigned to this individual provider in the NPPES registry on May 1, 2006.

Q: What is Ljubomir Ilic's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Q: When was this NPI record last updated?

The NPPES record for Ljubomir Ilic was last updated on August 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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 May 01, 2006PECOS EnrolledAccepts Medicare Assignment

550 S LANDMARK AVE, BLOOMINGTON, IN 47403(812) 676-4660(812) 676-4501 Get Directions Write a Review

NPPES record last updated: August 4, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 4, 2025, Dec 29, 2020, Apr 13, 2018 (3 updates tracked since 2018).

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About Ljubomir M Ilic Md NPPES

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

LJUBOMIR M ILIC MD (NPI 1750348843) is an individual nephrology provider in Bloomington, Indiana, licensed in Indiana (01084851A) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Indiana University Health Bloomington Hospital, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1750348843

Entity TypeIndividualMale

Primary Taxonomy207RN0300X

Provider Legal NameLJUBOMIR M ILICCredential: MD

Location Address550 S LANDMARK AVEBloomington, IN 47403-3239

Mailing AddressPo Box 44008Jacksonville, FL 32231-4008 · (904) 383-1013

Phone(812) 676-4660

Fax(812) 676-4501

Sole ProprietorNo

Medical School CMSOtherGraduated 1999

Enumeration DateMay 1, 2006

Last NPPES UpdateAugust 4, 20253 updates tracked since enumeration

NPPES CertifiedAugust 4, 2025

✔ NPI 1750348843 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

Licenses✔ Licensed in IN · 01084851A✔ Licensed in FL · ME133258

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Also ListedInternal MedicineTaxonomy 207R00000X · License ME133258 (FL)

550 S LANDMARK AVE, Bloomington, IN 47403

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Other Identifiers 1

Medicaid2128438MA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ljubomir M Ilic 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.

PECOS PAC ID7113020439

PECOS Enrollment IDI20201123001280, I20231023000476

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.

Areas of Expertise CMS Part B claims 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

254 services90 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

66 services38 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

49 services45 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

38 services35 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

16 services16 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Indiana University Health Bloomington Hospital

Acute Care Hospitals · Bloomington, IN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150051

Location2651 East Discovery ParkwayBloomington, IN 47408 · Monroe County

Emergency services Birthing friendly

Indiana University Health Bedford Hospital

Critical Access Hospitals · Bedford, IN

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number151328

Location2900 W 16th StBedford, IN 47421 · Lawrence County

Emergency services

Trinity Medical Ctr East &trinity Medical Ctr West

Acute Care Hospitals · Steubenville, OH

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number360211

Location380 Summit AvenueSteubenville, OH 43952 · Jefferson County

Emergency services Birthing friendly

Sky Lakes Medical Center

Acute Care Hospitals · Klamath Falls, OR

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number380050

Location2865 Daggett AvenueKlamath Falls, OR 97601 · Klamath County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47403 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

$122.49 typical visit price

range $53.07 – $161.76

Typical copayment $30.62 (range $13.26 – $40.44)

Most-billed visit code 99204

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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.

RUANA CRONIN NP

Nurse Practitioner (Family)