Ilic Renal and Hypertension Associates, P.A.
NPI 1033768619ActiveOrganization· Internal Medicine, Nephrology· Bloomington, IN
Internal Medicine, Nephrology in Bloomington, Indiana, registered in NPPES in September 2019. The authorized official on file is Ljubomir Ilic, MD, President.
Overview
| NPI | 1033768619 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 6, 2019 |
| Last updated in NPPES | Jun 15, 2023 |
| Certified by provider | Jun 15, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Nephrology Primary | 207RN0300X | — | — |
| Internal Medicine | 207R00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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