NIKOLA ILIC
NPI 1861277386
Physician Assistant in West Bloomfield, MI

Q: What is Nikola Ilic's NPI number?

The NPI number for Nikola Ilic is 1861277386. It was assigned to this individual provider in the NPPES registry on August 31, 2023.

Q: What is Nikola Ilic's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Nikola Ilic was last updated on December 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 August 31, 2023PECOS EnrolledAccepts Medicare Assignment

6777 W MAPLE RD, WEST BLOOMFIELD, MI 48322(248) 325-0636 Get Directions Write a Review

NPPES record last updated: December 4, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 4, 2023, Aug 31, 2023 (2 updates tracked since 2023).

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About Nikola Ilic NPPES

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

NIKOLA ILIC (NPI 1861277386) is an individual physician assistant in West Bloomfield, Michigan, licensed in Michigan (5601011801) and active in the NPI registry since August 2023. He is enrolled in Medicare PECOS, is affiliated with Henry Ford Health West Bloomfield Hospital, and maintains a secondary practice location in Flint.

NPPES Registry Identity

NPI1861277386

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameNIKOLA ILIC

Location Address6777 W MAPLE RDWest Bloomfield, MI 48322-3013

Mailing Address6777 W Maple RdWest Bloomfield, MI 48322-3013

Phone(248) 325-0636

Sole ProprietorYes

Medical School CMSOtherGraduated 2023

Enumeration DateAugust 31, 2023

Last NPPES UpdateDecember 4, 20232 updates tracked since enumeration

NPPES CertifiedDecember 4, 2023

✔ NPI 1861277386 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in MI · 5601011801

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

6777 W MAPLE RD, West Bloomfield, MI 48322

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Secondary Practice Location 1

Location 1303 E Kearsley StFlint, MI 48502-1907 · Phone (586) 457-5191

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.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

Nikola Ilic 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 ID3870942642

PECOS Enrollment IDI20231206001063

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 2

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.

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.

14 services14 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Henry Ford Health West Bloomfield Hospital

Acute Care Hospitals · West Bloomfield, MI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230302

Location6777 West Maple RoadWest Bloomfield, MI 48322 · Oakland County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48322 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

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

Established Patient

$72.38 typical visit price

range $18.32 – $143.49

Typical copayment $18.09 (range $4.58 – $35.87)

Most-billed visit code 99213

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.

IRB MEDICAL EQUIPMENT LLC

Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)

6777 W MAPLE RD, RM 60-01
WEST BLOOMFIELD, MI 48322

Oakland County (248) 862-7214

MELISSA ANNE BARACH AGCNS

Clinical Nurse Specialist