Active NPI
Paul M Novakovich, MD
- Orthopaedic Surgery Physician
- Ruston, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- ME108790
- Practice address
- 1200 S Farmerville St
Ruston, LA 71270-5941 - Phone
- (318) 255-3690
- Fax
- (318) 251-6177
- NPI assigned
- May 21, 2007
- Last updated
- Apr 12, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Orthopaedic Surgery Physician | 207X00000X | ME108790 | FL | Primary |
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | 205711 | LA |
Addresses
Primary practice location
1200 S Farmerville St
Ruston, LA 71270-5941
Mailing address
1200 S Farmerville St
Ruston, LA 71270-5941
Phone (318) 255-3690
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 129809 | Medicaid | AL | |
| 593-07448 | Other | AL | BLUE CROSS BLUE SHIELD |
| 129805 | Medicaid | AL | |
| 003720500 | Medicaid | FL | |
| 14E9E | Other | FL | BLUE CROSS BLUE SHIELD |
| 593-07447 | Other | AL | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Louisiana State University School of Medicine in Shreveport, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1501 Louisville Ave
Monroe, LA 71201-6025
Phone 31832384514310
Hospital & facility affiliations
- Trucare Home Health, LLC
- Northern Louisiana Medical Center
- Fmol Health St Francis
- Monroe Surgical Hospital
- Glenwood Regional Medical Center
- Jackson Parish Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.51 of 100
- Quality
- 60.04
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 1-10 |
| Knee replacement | 11 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopaedic Clinic of Monroe | Orthopaedic Surgery | Current | Accepting new patients |
| Orthopaedic Clinic of Monroe | Orthopaedic Surgery | Current | Accepting new patients |
Locations
1501 Louisville Ave
Monroe, LA 71201
Phone 31832384514310
1500 Commerce St
Ruston, LA 71270
Phone (318) 957-5044
707 S Vienna St
Ruston, LA 71270
Phone (318) 224-3044
2106 Loop Rd
Winnsboro, LA 71295
Phone (318) 282-8482
Interoperability endpoints
- https://fhir.yourcareuniverse.net/tenant/d191002b-0c8e-4cf4-9961-812ba9c00557
- nlmpnovak@yourcarecommunity.org
- paul.novakovich@gcmc.directbygreenway.com
- pnovakovich5281449@direct.casso.us.com
Organizations & group practices 3
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.
-
dba North Louisiana Orthopaedic and Sports Medicine Clinic
- Orthopaedic Surgery Physician
- Monroe, LA
- NPI 1144266511
-
dba Franklin Medical Center
- Rural Acute Care Hospital
- Winnsboro, LA
- NPI 1619143120
-
- Sports Medicine (Orthopaedic Surgery) Physician
- West Monroe, LA
- NPI 1003337478
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Northern Louisiana Medical Center
- General Acute Care Hospital
- Ruston, LA
- NPI 1962024026
-
- General Acute Care Hospital
- West Monroe, LA
- NPI 1548083421
-
- Critical Access Hospital
- Jonesboro, LA
- NPI 1093793408
-
- General Acute Care Hospital
- Monroe, LA
- NPI 1225031495
-
- General Acute Care Hospital
- Monroe, LA
- NPI 1295723229
-
- Home Health Agency
- Monroe, LA
- NPI 1659379188
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491955200000",
"number": "1023227683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 S FARMERVILLE ST",
"city": "RUSTON",
"state": "LA",
"postal_code": "712705941",
"telephone_number": "318-255-3690",
"fax_number": "318-251-6177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 S FARMERVILLE ST",
"city": "RUSTON",
"state": "LA",
"postal_code": "712705941",
"telephone_number": "318-255-3690",
"fax_number": "318-251-6177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOVAKOVICH",
"first_name": "PAUL",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-21",
"last_updated": "2017-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "FL",
"license": "ME108790",
"primary": true
},
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "LA",
"license": "205711",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "129809",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "593-07448",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "129805",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003720500",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "14E9E",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "593-07447",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ruston, LA
- Morgan Northen, M.A., CCC-SLP
- Northern Louisiana Emergency Physicians LLP (Northern Louisiana Physicians LLP)
- Northern Louisiana Emergency Physicians, LLP (Northern Louisiana Physicians LLP)
- Northland Hearing Centers, Inc. (Audibel Hearing Center)
- Northwood Medical Center
- Misti Odefey, REGISTERED DIETICIAN
- Angela D Odom-Austin, M.D.
- Winter Deleen Oliver, FNP
- Danyelle McDaniel Oneal
- Orthopaedic Clinic of Monroe
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.