DR. NIKOLA CENGELOVA CONRAD (M.D.) – Family Medicine Physician, NPI 1013279371
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,418 FAMILY PRACTICE in MI
Provider Addresses for DR. NIKOLA CENGELOVA CONRAD (M.D.)
130 TOWN CENTER DR
203
TROY, MI 480841744
Phone: (248) 585-8265
Fax: (248) 585-8270
Type: Mailing
21400 E 11 MILE RD
SAINT CLAIR SHORES, MI 480811566
Phone: (586) 498-4400
Fax: (586) 498-4440
Type: Location
PO BOX 631767
CINCINNATI, OH 452631767
Phone: (812) 450-6815
Fax: (812) 450-6822
Type: Mailing
966 BARTLEY ST
JASPER, IN 475462641
Phone: (812) 996-7810
Fax: (812) 996-8465
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 18 Open Payments records for all available years, with a total value of $305.
Total Amount is formed as General ($305) + Research ($0) + Ownership ($0) = $305.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: ABBVIE INC. ($55).
Total Amount
$305
General + Research + Ownership
Payments
18
Total payment records
General Amount
$305
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $55 |
| Novo Nordisk Inc | $36 |
| Lilly USA, LLC | $31 |
| Organon LLC | $30 |
| PFIZER INC. | $27 |
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: 2019-06-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
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 |
|---|---|---|---|---|
| I20190606002418 | I | Family Practice | IN | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 176 | 109 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 90 | 83 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 43 | 43 | $0 |
| 81003 | Automated urinalysis test | 11 | 11 | $0 |
Insurance plans in this area (ZIP 48084)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | IN | |
| Family Practice | IN | |
| - | IN | |
| Nurse Practitioner | IN | |
| - | TN | |
| Nurse Practitioner | IN | |
| - | KY | |
| Physician Assistant | OH | |
| Internal Medicine, Geriatric Medicine | IN | |
| Nurse Practitioner | ME |
Reviews
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