Active NPI
Petar Turcinovic, MD
- Surgery Physician
- Shenandoah, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD2021-0724
- Practice address
- 9200 Pinecroft Dr
Suite 250
Shenandoah, TX 77380-3279 - Phone
- (281) 419-8400
- Fax
- (281) 292-1972
- NPI assigned
- Aug 19, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD2021-0724 | NM | Primary |
| Surgery Physician | 208600000X | L4369 | TX |
Addresses
Primary practice location
9200 Pinecroft Dr
Suite 250
Shenandoah, TX 77380-3279
Mailing address
2559 Medical Dr
Ste 3200
Alamogordo, NM 88310-8703
Phone (281) 419-8400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P000947D3 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Baylor College of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2669 Scenic Dr
Alamogordo, NM 88310-8700
Phone (505) 439-6100
Hospital & facility affiliations
- Christus Southern New Mexico
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 14 |
| Hernia repair - groin (open) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 24 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD2021-0724 | NM | MD | Surgery Physician |
| L4369 | TX | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Otero County Hospital Association | Current | Accepting new patients | |
| Otero County Hospital Association | Current | Accepting new patients |
Locations
2559 Medical Dr
Ste 3200
Alamogordo, NM 88310
Phone (575) 446-5365
2669 Scenic Dr
Alamogordo, NM 88310
Phone (505) 439-6100
Interoperability endpoints
- petar.turcinovic.1@6965.direct.athenahealth.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Alamogordo, NM
- NPI 1861450579
-
- Community/Retail Pharmacy
- Alamogordo, NM
- NPI 1235948803
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Alamogordo, NM
- NPI 1861450579
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639958400000",
"number": "1063404689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2559 MEDICAL DR",
"address_2": "STE 3200",
"city": "ALAMOGORDO",
"state": "NM",
"postal_code": "883108703",
"telephone_number": "281-419-8400",
"fax_number": "281-292-1972"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9200 PINECROFT DR",
"address_2": "SUITE 250",
"city": "SHENANDOAH",
"state": "TX",
"postal_code": "773803279",
"telephone_number": "281-419-8400",
"fax_number": "281-292-1972"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TURCINOVIC",
"first_name": "PETAR",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-19",
"last_updated": "2021-12-20",
"certification_date": "2021-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NM",
"license": "MD2021-0724",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TX",
"license": "L4369",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "P000947D3",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Shenandoah, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2021; 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.