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

Michael Nicksic, MD

Individual provider Diagnostic Radiology Physician · NPI 1346779907

Michael Nicksic, MD is a Diagnostic Radiology in Charlottesville, Virginia. Graduated from University of Louisville School of Medicine in 2018, 8 years ago. Practices with Blue Ridge Radiology PC, a 79-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Ohio and Virginia.

Years since qualifying
8
Trained at
University of Louisville School of Medicine
Licensed in
OH, VA
In the registry since
2017
Specialties on file
2
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

1215 Lee St Box 800377
Charlottesville, VA 22908-0816
Phone: (434) 924-9400
Fax: (434) 243-6731
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 395 W 12th Ave, Columbus, OH 43210-1267 — (614) 293-8315

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence 0116038831 (VA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 35.140897 (OH)

Record details

NPI number1346779907
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 7, 2017
Last updated in NPPESJune 15, 2024
Certification dateJune 15, 2024
Mailing address1215 Lee St Box 800377, Charlottesville, VA 22908-0816

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolUNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice Blue Ridge Radiology Pc — 79 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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