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

Nikola Ilic

Individual provider Physician Assistant · NPI 1861277386

Nikola Ilic is a Physician Assistant in West Bloomfield, Michigan. Qualified in 2023, 3 years ago. Practices with Henry Ford Health System, a 2,540-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
3
Licensed in
MI
In the registry since
2023
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Practice location Address checks out

6777 W Maple Rd
West Bloomfield, MI 48322-3013
Phone: (248) 325-0636
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 303 E Kearsley St, Flint, MI 48502-1907 — (586) 457-5191

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601011801 (MI)

Record details

NPI number1861277386
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 31, 2023
Last updated in NPPESDecember 4, 2023
Certification dateDecember 4, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Henry Ford Health System — 2540 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in West Bloomfield