Individual provider Active NPI

Miljan R Stankovic, MD

  • Obstetrics & Gynecology Physician
  • Portage, IN
National Provider Identifier
1104922483
Registry record updated Mar 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
232251 Issued in NY
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

Updated by the provider on Mar 24, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
02563564MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210625001857 FL Practitioner - Obstetrics/Gynecology 6709859051 Reassigns benefits to 1 organization
I20251106003154 TX Practitioner - Obstetrics/Gynecology 6709859051 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
232251NYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Obhg Texas Holdings, P.a. Obstetrics & Gynecology CurrentSince Sep 1, 2025 Accepting new patients
New York University Obstetrics & Gynecology CurrentSince Apr 6, 2019 Accepting new patients
Westchester Medical Center Advanced Physician Services, PC Obstetrics & Gynecology CurrentSince Nov 1, 2019 Accepting new patients
Westchester Medical Center Advanced Physician Services PC CurrentSince Nov 1, 2019 Accepting new patients
New York University CurrentSince Apr 6, 2019 Accepting new patients
Pediatrix Medical Group of Florida Inc Obstetrics & Gynecology CurrentSince Oct 15, 2025 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 PastSince Nov 27, 1997 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

  • Direct secure messaging: mstankovic20933@jupitermedicalcenter.direct-ci.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.