Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ljubomir M Ilic, MD

Individual provider Internal Medicine Physician · NPI 1750348843

Ljubomir M Ilic, MD is a Nephrology in Bloomington, Indiana. Qualified in 1999, 27 years ago. Practices with Trinity West, a 146-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida and Indiana.

Years since qualifying
27
Licensed in
FL, IN
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

550 S Landmark Ave
Bloomington, IN 47403-3239
Phone: (812) 676-4660
Fax: (812) 676-4501
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 580 W 8th St Ste 513, Jacksonville, FL 32209-6533 — (904) 383-1013

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence 01084851A (IN)
Internal Medicine Physician Taxonomy 207R00000X · Licence ME133258 (FL)
Nephrology Physician Taxonomy 207RN0300X · Licence ME133258 (FL)

Record details

NPI number1750348843
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 1, 2006
Last updated in NPPESAugust 4, 2025
Certification dateAugust 4, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEPHROLOGY
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Trinity West — 146 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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