David J Licini
MD | Adult Reconstructive Orthopaedic Surgery | 18+ years Exp
Medicare Enrolled 1302 S Rogers St, Bloomington
Indiana, 47403-4752
812-333-2663 812-676-4131
Maps & DirectionsDavid J Licini is a Bloomington, Indiana based orthopedic surgeon with 18 years of experience in Adult Reconstructive Orthopaedic Surgery. He completed his graduation from Indiana University School Of Medicine in 2007. He is also affiliated with hospitals like Indiana University Health Bloomington Hospital. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of David J Licini is 01071339A for Orthopedic Surgery in Indiana.
David J Licini deals with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.
Complete Profile:
David J Licini speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Specialization: | Orthopedic - Adult Reconstructive Orthopaedic Surgery |
| Credentials: | MD |
| Experience: | 18+ years |
| Medical School Attended: | Indiana University School Of Medicine |
| Graduation Year: | 2007 |
| Gender: | Male |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 1302 S Rogers St, Bloomington,
Indiana, 47403-4752 |
| Phone: | 812-333-2663 |
| Fax: | 812-676-4131 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 2668607623 |
| Enrollment ID: | I20131028001920 |
| NPI Number: | 1801086343 |
| NPI Enumeration Date: | 31 Jul, 2007 |
| NPI Last Update On: | 27 Oct, 2021 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for David J Licini are as mentioned below.
| License Number | Specialization | State | Status | |
| 01071339A | Orthopedic Surgery | Indiana | Primary | |
| 01071339A | Adult Reconstructive Orthopaedic Surgery | Indiana | Secondary | |
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
| Hospital Name (CCN) | State | Hospital Type |
| Indiana University Health Bloomington Hospital (150051) | Bloomington, IN | Acute Care Hospital |
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which David J Licini is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Indiana University Health Southern Indiana Physicians Llc (6204748197) | 380 |
Other Medical Identifiers:
Other legacy medical identifiers associated with David J Licini such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 201119230 | Medicaid | Indiana | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 250 N Shadeland Ave,
Indianapolis, Indiana |
| Zip: | 46219-4959 |
| Phone Number: | -- |
| Fax Number: | -- |
Patients can reach David J Licini at
1302 S Rogers St, Bloomington, Indiana or can
call to book an appointment on 812-333-2663.
Comments/ Reviews:
Patients can read all the reviews posted for David J Licini below. You may also share your own experience like the quality of treatment, behavior, and overall care provided by David J Licini. It will help others make informed decisions.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.