Active NPI
Miljan R Stankovic, MD
- Obstetrics & Gynecology Physician
- Portage, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 232251
- Practice address
- 3564 Scottsdale St
Portage, IN 46368-5420 - Phone
- (219) 763-8112
- Fax
- (219) 764-3251
- NPI assigned
- Sep 15, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 232251 | NY | Primary |
Addresses
Primary practice location
3564 Scottsdale St
Portage, IN 46368-5420
Mailing address
PO Box 1430
Portage, IN 46368-9230
Phone (219) 763-8112
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02563564 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, TX
- 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
- Obstetrics/Gynecology
- Education
- Other, 1982
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
777 Lawndres Hill Rd
Greenville, SC 29607-2101
777 Lowndes Hill Rd
BLDG 1
Greenville, SC 29607-2131
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 232251 | NY | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Obhg Texas Holdings, P.a. | Obstetrics & Gynecology | Current | Accepting new patients |
| New York University | Obstetrics & Gynecology | Current | Accepting new patients |
| Westchester Medical Center Advanced Physician Services, PC | Obstetrics & Gynecology | Current | Accepting new patients |
| Westchester Medical Center Advanced Physician Services PC | Current | Accepting new patients | |
| New York University | Current | Accepting new patients | |
| Pediatrix Medical Group of Florida Inc | Obstetrics & Gynecology | Current | Accepting new patients |
| David P.Gorman, MD PC | Past | Accepting new patients | |
| Columbia Medical Center of Arlington Subsidiary LP | Past | Accepting new patients | |
| Questcare Obstetrics PLLC | Obstetrics & Gynecology | Past | Accepting new patients |
| Tae Sik Choi MD PC | Obstetrics & Gynecology | Past | Accepting new patients |
Locations
1150 N 35th Ave
Ste 245
Hollywood, FL 33021
Phone (954) 265-2740
2964 N State Road 7
Ste 300
Margate, FL 33063
Phone (954) 468-3080
3100 SW 62nd Ave
Miami, FL 33155
Phone (305) 669-5873
1901 SW 172nd Ave
Miramar, FL 33029
Phone (954) 276-5401
703 N Flamingo Rd
Pembroke Pnes, FL 33028
Phone (954) 436-5000
12969 S US 301
Riverview, FL 33578
Phone (813) 971-6909
3030 W Mlk Blvd
Tampa, FL 33607
Phone (813) 870-4000
45 Reade Pl
Fl 2
Poughkeepsie, NY 12601
Phone (845) 483-6001
6511 Spring Brook Ave
Ste 103
Rhinebeck, NY 12572
Phone (845) 871-4235
95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961
41 E Post Rd
White Plains, NY 10601
Phone (914) 681-1201
919 E 32nd St
Austin, TX 78705
Phone (512) 343-2466
12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530
5950 Saratoga Blvd
Corpus Christi, TX 78414
Phone (321) 917-9263
18500 Katy Fwy
Houston, TX 77094
Phone (281) 206-9020
3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115
17201 Interstate 45 S
The Woodlands, TX 77385
Phone (936) 270-2000
Interoperability endpoints
- mstankovic20933@jupitermedicalcenter.direct-ci.com
- stankovic.miljan.p1@direct.northshorehealth.nextgenshare.com
Organizations & group practices 10
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.
-
- Obstetrics & Gynecology Physician
- Austin, TX
- NPI 1083917769
-
- Pediatric Cardiology Physician
- Sunrise, FL
- NPI 1083711790
Obstetrics & Gynecology
-
- Physical Medicine & Rehabilitation Physician
- Boynton Beach, FL
- NPI 1104787613
-
- Cardiovascular Disease Physician
- Boynton Beach, FL
- NPI 1285826438
Obstetrics & Gynecology
-
- Anesthesiology Physician
- Valhalla, NY
- NPI 1740687458
-
- Surgery Physician
- Valhalla, NY
- NPI 1912131392
Obstetrics & Gynecology
-
- General Acute Care Hospital
- Arlington, TX
- NPI 1134172406
-
- Adult Health Nurse Practitioner
- Plattsburgh, NY
- NPI 1447387618
-
- Obstetrics & Gynecology Physician
- Plano, TX
- NPI 1184897159
-
- Obstetrics & Gynecology Physician
- Massena, NY
- NPI 1922038116
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427155200000",
"number": "1104922483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1430",
"city": "PORTAGE",
"state": "IN",
"postal_code": "463689230",
"telephone_number": "219-763-8112",
"fax_number": "219-764-3251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3564 SCOTTSDALE ST",
"city": "PORTAGE",
"state": "IN",
"postal_code": "463685420",
"telephone_number": "219-763-8112",
"fax_number": "219-764-3251"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANKOVIC",
"first_name": "MILJAN",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-15",
"last_updated": "2015-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NY",
"license": "232251",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02563564",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Portage, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2015; 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.