NPIMap

Individual provider Active NPI

Dragomir Mijic, D.O.

  • Orthopaedic Surgery Physician
  • Hudson, FL
National Provider Identifier
1043573371
Registry record updated Jun 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
OS14483 Issued in FL
Practice address
7544 Jacque Rd
Hudson, FL 34667-7162
Phone
(727) 697-2200
Fax
(727) 857-4397
NPI assigned
Jun 21, 2012
Last updated
Jun 6, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 5101019993 MI
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X OS14483 FL Primary

Addresses

Primary practice location

7544 Jacque Rd
Hudson, FL 34667-7162

Mailing address

5597 N Dixie Hwy
Oakland Park, FL 33334-3406
Phone (954) 958-4800

Other practice location 1

5597 N Dixie Hwy
Oakland Park, FL 33334-3406
Phone (954) 958-4800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170727002805 FL Practitioner - Orthopedic Surgery 8820368541 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

8281 S Suncoast Blvd
Homosassa, FL 34446-5027
Phone (352) 597-2664

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.53 of 100Reported as group
Quality
63.31
Promoting interoperability
96
Improvement activities
40
Cost
69.62

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)127
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101019993MIMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa General Hospital Current Accepting new patients
The Center for Bone and Joint Disease, PA Single Specialty CurrentSince Aug 1, 2018 Accepting new patients
The Center for Bone and Joint Disease, PA Single Specialty CurrentSince Aug 1, 2018 Accepting new patients

Locations

8281 S Suncoast Blvd
Homosassa, FL 34446
Phone (352) 597-2664

7544 Jacque Rd
Hudson, FL 34667
Phone (727) 697-2200

5319 Grand Blvd
New Pt Richey, FL 34652
Phone (727) 220-2422

10221 Yale Ave
Weeki Wachee, FL 34613
Phone (352) 405-1125

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: dmijic296166@direct.tgh.org
  • Direct secure messaging: dragomir.mijic@centerforboneandjoint.directbygreenway.com
  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/

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.

Hospital & facility affiliations 9

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": "1340236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528243200000",
    "number": "1043573371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5597 N DIXIE HWY",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333343406",
            "telephone_number": "954-958-4800",
            "fax_number": "954-351-7873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7544 JACQUE RD",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346677162",
            "telephone_number": "727-697-2200",
            "fax_number": "727-857-4397"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5597 N Dixie Hwy",
            "address_purpose": "LOCATION",
            "city": "Oakland Park",
            "state": "FL",
            "postal_code": "333343406",
            "country_code": "US",
            "telephone_number": "954-958-4800",
            "fax_number": "954-351-7873",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIJIC",
        "first_name": "DRAGOMIR",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-21",
        "last_updated": "2018-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "5101019993",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "OS14483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, FL

Sources for this page

Verify at the official NPI Registry.