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GREEN PEDIATRICS LLC
NPI 1922462811
Pediatrics in Saint John, IN

Active since April 07, 2016CLIA 15D2114373 · Waiver
8247 WICKER AVE, SAINT JOHN, IN 46373(219) 662-3931 Get Directions Write a Review

NPPES record last updated: January 30, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Green Pediatrics Llc NPPES

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

GREEN PEDIATRICS LLC (NPI 1922462811) is a healthcare organization registered as a pediatrics in Saint John, Indiana and active in the NPI registry since April 2016. The organization holds a CLIA Waiver certificate valid through June 12, 2028 and lists Biljana Uzelac, Owner / President, as its authorized official.

NPPES Registry Identity

NPI1922462811
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameGREEN PEDIATRICS LLC
Location Address8247 WICKER AVESaint John, IN 46373-8878
Mailing AddressPo Box 1153Crown Point, IN 46308-1153 · (219) 662-3931
Phone(219) 662-3931
Organization SubpartNo
Authorized OfficialBiljana UzelacOwner / President · (219) 662-3931
Enumeration DateApril 7, 2016
Last NPPES UpdateJanuary 30, 2017
✔ NPI 1922462811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in IN · 01064437A
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.
8247 WICKER AVE, Saint John, IN 46373
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Other Identifiers 1

Medicaid201361020AIN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 15D2114373

Green Pediatrics · St John, IN
Active · expires Jun 12, 2028
CLIA Number15D2114373
Laboratory TypePhysician Office
Certificate Effective DateJune 13, 2026
Certificate Expiration DateJune 12, 2028
Laboratory DirectorBiljana Uzelac
Laboratory Phone(219) 662-3931
Laboratory LocationGreen Pediatrics8247 Wicker Ave, St John, IN 46373
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BILJANA UZELAC MD
Pediatrics
8247 WICKER AVE
SAINT JOHN, IN 46373
Lake County (219) 232-2772
MILICA VUKOVIC
Massage Therapist
8247 WICKER AVE
SAINT JOHN, IN 46373
Lake County (219) 232-2772
MRS. TRESSA WHITMAN RDN
Dietitian, Registered
8247 WICKER AVE
SAINT JOHN, IN 46373
Lake County (219) 232-2772
GIANNA GRACE ZOMPARELLI NP
Nurse Practitioner
8247 WICKER AVE
SAINT JOHN, IN 46373
Lake County (219) 232-2772

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 Green Pediatrics LLC's NPI number?

The NPI number for Green Pediatrics LLC is 1922462811. It was assigned to this organization in the NPPES registry on April 7, 2016.

Where is Green Pediatrics LLC located?

Green Pediatrics LLC is located at 8247 Wicker Ave, Saint John, IN 46373. The listed phone number is (219) 662-3931.

What is Green Pediatrics LLC's specialty?

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

Does Green Pediatrics LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2114373) is associated with this NPI, valid through June 12, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Green Pediatrics LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Green Pediatrics LLC 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.

When was this NPI record last updated?

The NPPES record for Green Pediatrics LLC was last updated on January 30, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.