JOSIP DIVIC (MD) – Internal Medicine Physician, NPI 1770587305

JOSIP DIVIC (MD) is a healthcare provider. based in Grand rapids, Michigan. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 4301062325 (MI). The NPI Number for JOSIP DIVIC (MD) is 1770587305

Main info

Male
38 Years Of Experience
Accepts Medicare Assignment
Name
JOSIP DIVIC (MD)
NPI
1770587305
Phone
(616) 486-6790
Address
100 MICHIGAN ST NE
Enumeration Date
10 June 2005
Last Update Date
2 March 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6163915600
Graduation Year
1988 (38 years ago)
PAC ID
8527100304
Group Practice PAC ID
4587568647
Professional Enrollment ID
I20100115000628
Address ID
MI495084600KE4444XSEXX401

Contacts

Secure Messaging
jdivic1797@epic00.shdirect.org
FHIR Endpoint
https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/DSTU2/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:21State licenses:1Other namesUpdated within 12 months

7,218 INTERNAL MEDICINE in MI

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Provider Addresses for JOSIP DIVIC (MD)

  • Spectrum Health Butterworth Hospital, 100, Michigan Street Northeast, Grand Rapids, Kent County, Michigan, 49503, United States

    MC845

    GRAND RAPIDS, MI 495032560

    Phone: (616) 486-6790

    Fax: (616) 486-6702

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $146.

Total Amount is formed as General ($146) + Research ($0) + Ownership ($0) = $146.

Last reported payment date: 2023-04-19 • Largest payer in this snapshot: Gilead Sciences, Inc. ($146).

Total Amount

$146

General + Research + Ownership

Payments

3

Total payment records

General Amount

$146

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-04-19

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Gilead Sciences, Inc.$146
View all Open Payments →|Open Payments Risk Radar →

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: 2010-01-15

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100115000628IInternal MedicineMITBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes304124$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes11760$0
99239Hospital discharge day management, more than 30 minutes9291$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes2323$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 49503)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4587568647View full group profile
NameSpecialtyState
Critical Care (Intensivists)IL
Physician AssistantMI
Physician AssistantMI
Physician AssistantMI
-MI
Vascular SurgeryIL
-MI
-MI
A N E S T H E S I O L O G YTX
Clinical Social WorkerMI

Reviews

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Frequently asked questions

Is there an official ID for JOSIP DIVIC (MD) in U.S. healthcare records?
The official identifier for JOSIP DIVIC (MD) is NPI 1770587305.
Active or inactive — what applies to JOSIP DIVIC (MD)?
You should see JOSIP DIVIC (MD) as active in CMS-hosted NPPES data.
What clinical focus is listed for JOSIP DIVIC (MD)?
At a glance, JOSIP DIVIC (MD) is tied to Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for JOSIP DIVIC (MD)?
Travel planning: use Grand Rapids, Michigan as the reference point for JOSIP DIVIC (MD), then confirm.
Does JOSIP DIVIC (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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