LJUBOMIR M ILIC (MD) – Nephrology Physician, NPI 1750348843
Nephrology Physician
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Profile Insights
NPPES metrics only — not quality of care.
797 NEPHROLOGY in FL
Provider Addresses for LJUBOMIR M ILIC (MD)
580 W 8TH ST STE 513
JACKSONVILLE, FL 322096533
Phone: (904) 383-1013
Type: Location
580 W 8th St Ste 513
Jacksonville, FL 322096533
Phone: (904) 383-1013
Type: Location
PO BOX 44008
JACKSONVILLE, FL 322314008
Phone: (904) 383-1013
Type: Mailing
550 S LANDMARK AVE
BLOOMINGTON, IN 474033239
Phone: (812) 676-4660
Fax: (812) 676-4501
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2023-10-23
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 9 Medicare enrollment records; no due dates published yet.
Enrollment records
9
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20130917000543 | I | Internal Medicine | IL | TBD |
| I20171017002332 | I | Nephrology | FL | TBD |
| I20201123001280 | I | Nephrology | IN | TBD |
| I20230406000700 | I | Internal Medicine | WV | TBD |
| I20230601001118 | I | Internal Medicine | KS | TBD |
| I20230609001595 | I | Internal Medicine | GA | TBD |
| I20230705000845 | I | Internal Medicine | WI | TBD |
| I20230907001276 | I | Internal Medicine | TN | TBD |
| I20231023000476 | I | Nephrology | OH | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99341 | Residence visit for new patient with straightforward medical decision making, per day, if using time, at least 15 minutes | 70 | 70 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 52 | 52 | $0 |
| 90960 | Dialysis services, 4 or more physician visits per month (20 years or older) | 51 | 37 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 44 | 19 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 41 | 15 | $0 |
Insurance plans in this area (ZIP 32209)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine, Hospitalist | OH | |
| Internal Medicine | OH | |
| Qualified Audiologist | OH | |
| G A S T R O E N T E R O L O G Y | OH | |
| - | OH | |
| Internal Medicine | OH | |
| - | OH | |
| - | OH | |
| Orthopedic Surgery | OH | |
| Nurse Practitioner | OH |
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