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

Nathan Vandjelovic

Individual provider Pediatric Pulmonology Physician · NPI 1396086286

Nathan Vandjelovic is an Otolaryngology in Detroit, Michigan. Qualified in 2013, 13 years ago. Practices with University of Rochester Pediatric Otolaryngology Associates, a 5-clinician group and accepts Medicare assignment. Licensed in Michigan and New York.

Years since qualifying
13
Licensed in
MI, NY
In the registry since
2013
Specialties on file
3

Practice location Address checks out

4201 Saint Antoine St # 9C
Detroit, MI 48201-2153
Phone: (313) 745-5147
Fax: (313) 966-0880
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence 5101020558 (MI)
Pediatric Pulmonology Physician Taxonomy 2080P0214X · Licence 297940 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1396086286
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 3, 2013
Last updated in NPPESJune 30, 2023

Medicare enrollment

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

Medicare specialtyOTOLARYNGOLOGY
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice University Of Rochester Pediatric Otolaryngology Associates — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Detroit