DANIJELA MATAIC (MD) – Nephrology Physician, NPI 1407895840

DANIJELA MATAIC (MD) is a healthcare provider. based in Saint louis, Missouri. specializing in NEPHROLOGY. They hold the professional credentials MD. They hold a License No. 2004003811 (MO). The NPI Number for DANIJELA MATAIC (MD) is 1407895840

Main info

Female
Sole Proprietor
29 Years Of Experience
Accepts Medicare Assignment
Name
DANIJELA MATAIC (MD)
NPI
1407895840
Phone
(314) 269-7672
Address
7320 FORSYTH BLVD APT 104
Enumeration Date
4 June 2006
Last Update Date
30 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2182796230
Graduation Year
1997 (29 years ago)
PAC ID
0143285007
Group Practice PAC ID
7113834839
Professional Enrollment ID
I20231120002930
Address ID
MN558022228DU1001XSTXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

274 NEPHROLOGY in MN

Provider Addresses for DANIJELA MATAIC (MD)

  • 7320 FORSYTH BLVD APT 104

    SAINT LOUIS, MO 631052168

    Phone: (314) 269-7672

    Type: Mailing

  • 915 E 1ST ST

    DULUTH, MN 558052107

    Phone: (218) 249-5439

    Fax: (218) 249-5624

    Type: Location

  • 10004, Kennerly Road, Sappington, Saint Louis County, Missouri, 63128, United States

    374B

    SAINT LOUIS, MO 631282141

    Phone: (314) 842-9669

    Fax: (314) 842-1017

    Type: Mailing

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: 2023-11-20

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
I20231120002930INephrologyMNTBD

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes3411$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1211$0
View full utilization report →

Insurance plans in this area (ZIP 63105)

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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: 7113834839View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MN
-MN
Vascular SurgeryIL
Physician AssistantMN
Emergency MedicineMN
-MN
Emergency MedicineMN
-MN
Physician AssistantMN
Hematology/Oncology, Internal MedicineMN

Reviews

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Frequently asked questions

Does DANIJELA MATAIC (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DANIJELA MATAIC (MD) uses 1407895840.
Is DANIJELA MATAIC (MD) listed as active for patients and plans?
The listing shows DANIJELA MATAIC (MD) as active in the NPI system.
What is DANIJELA MATAIC (MD) best known for clinically?
Directory data describes DANIJELA MATAIC (MD) with Nephrology Physician. Clinical services aligned with this taxonomy classification.
Where is DANIJELA MATAIC (MD) based?
DANIJELA MATAIC (MD) is tied to Saint Louis, Missouri in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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