Individual provider Active NPI

Jelena Markovic, M.D

  • Internal Medicine Physician
  • Roswell, NM
National Provider Identifier
1013263219
Registry record updated Dec 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD2015-0457 Issued in NM
Practice address
402 W Country Club Rd
Roswell, NM 88201-5247
Phone
(575) 627-9500
Fax
(575) 627-9535
NPI assigned
Jul 25, 2012
Last updated
Dec 30, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD2015-0457 NM Primary

Addresses

Primary practice location

402 W Country Club Rd
Roswell, NM 88201-5247

Mailing address

7301 N Lincoln Ave
Ste 183
Lincolnwood, IL 60712-1736
Phone (224) 766-7669

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171107001914 IL Practitioner - Internal Medicine 1951617083 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

720 Union Ave
Romeoville, IL 60446-1432
Phone (464) 244-5010

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD2015-0457NMMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Woundcare, Inc CurrentSince Aug 31, 2023 Accepting new patients
Onsite Health Therapies, LLC CurrentSince May 1, 2021 Accepting new patients
Markovic Medical Inc Internal Medicine CurrentSince May 22, 2025 Accepting new patients

Locations

7301 N Lincoln Ave
Ste 180
Lincolnwood, IL 60712
Phone (224) 766-7669

7301 N Lincoln Ave
Ste 183
Lincolnwood, IL 60712
Phone (224) 766-7669

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1343174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577664000000",
    "number": "1013263219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7301 N LINCOLN AVE",
            "address_2": "STE 183",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607121736",
            "telephone_number": "224-766-7669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 W COUNTRY CLUB RD",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882015247",
            "telephone_number": "575-627-9500",
            "fax_number": "575-627-9535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKOVIC",
        "first_name": "JELENA",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-25",
        "last_updated": "2019-12-30",
        "certification_date": "2019-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NM",
            "license": "MD2015-0457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, NM

Sources for this page

Verify at the official NPI Registry.