Dr Nikola Cengelova Conrad, MD - Medicare Family Practice in Saint Clair Shores, MI

Dr Nikola Cengelova Conrad, MD is a medicare enrolled "Family Medicine" physician in Saint Clair Shores, Michigan. She graduated from medical school in 2012 and has 12 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Little Company Of Mary Hospital Of Indiana Inc and her current practice location is 21400 E 11 Mile Rd, Saint Clair Shores, Michigan. You can reach out to her office (for appointments etc.) via phone at (586) 498-4400.

Dr Nikola Cengelova Conrad is licensed to practice in Michigan (license number 4301101196) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1013279371.

Contact Information

Dr Nikola Cengelova Conrad, MD
21400 E 11 Mile Rd,
Saint Clair Shores, MI 48081-1566
(586) 498-4400
(586) 498-4440

Map and Direction




Physician's Profile

Full NameDr Nikola Cengelova Conrad
GenderFemale
SpecialityFamily Practice
Experience12 Years
Location21400 E 11 Mile Rd, Saint Clair Shores, Michigan
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Nikola Cengelova Conrad graduated from medical school in 2012
  NPI Data:
  • NPI Number: 1013279371
  • Provider Enumeration Date: 06/13/2012
  • Last Update Date: 07/06/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 5991018376
  • Enrollment ID: I20190606002418

Medical Identifiers

Medical identifiers for Dr Nikola Cengelova Conrad such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013279371NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 4301101196 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Memorial Hospital And Health Care CenterJasper, INHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Little Company Of Mary Hospital Of Indiana Inc4587578042167

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Nikola Cengelova Conrad allows following entities to bill medicare on her behalf.
Entity NameLittle Company Of Mary Hospital Of Indiana Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114120128
PECOS PAC ID: 4587578042
Enrollment ID: O20031118000733

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Nikola Cengelova Conrad is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Nikola Cengelova Conrad, MD
130 Town Center Dr, 203,
Troy, MI 48084-1744

Ph: (248) 585-8265
Dr Nikola Cengelova Conrad, MD
21400 E 11 Mile Rd,
Saint Clair Shores, MI 48081-1566

Ph: (586) 498-4400

Reviews and Comments


Family Medicine Doctors in Saint Clair Shores, MI

Dr. Mark Edward Holowinski, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 24100 Little Mack Ave, Saint Clair Shores, MI 48080
Phone: 586-443-4063    Fax: 586-443-4064
Dr. Emianka Sotiri, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 24911 Little Mack Ave Ste C, Saint Clair Shores, MI 48080
Phone: 586-777-2050    Fax: 586-777-2189
Rania Hanna, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 24911 Little Mack Ave Ste C, Saint Clair Shores, MI 48080
Phone: 586-777-2050    Fax: 586-777-2189
Shoshan P Zolo, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 25631 Little Mack Ave Ste 103, Saint Clair Shores, MI 48081
Phone: 586-443-2333    Fax: 586-443-2332
Mark B Alrais, M.D
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 21600 Harper Ave Ste 100, Saint Clair Shores, MI 48080
Phone: 586-800-1001    Fax: 586-800-1002
Barbara Clare Tess, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 20225 E 9 Mile Rd, Suite A, Saint Clair Shores, MI 48080
Phone: 586-779-8700    Fax: 586-498-1425

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.