Individual provider Active NPI

Sinisa Marko Trbovic, MD, PHD

  • Psychiatry Physician
  • Winter Springs, FL
National Provider Identifier
1134264591
Registry record updated Nov 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME132428 Issued in FL
Practice address
1030 Spring Villas PT Ste 3000
Winter Springs, FL 32708-5242
Phone
(580) 678-3518
NPI assigned
Feb 21, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X ME132428 FL Primary
Psychiatry Physician 2084P0800X 26846 OK

Addresses

Primary practice location

1030 Spring Villas PT Ste 3000
Winter Springs, FL 32708-5242

Mailing address

1030 Spring Villas PT Ste 3000
Winter Springs, FL 32708-5242
Phone (833) 995-6887

Other practice location 1

2720 Royal Troon Dr
Plano, TX 75025-6468
Phone (580) 510-2780

Other identifiers 2

IdentifierTypeStateIssuer
R59324877OtherMABLUE CROSS BLUE SHIELD
1134264591OtherOKBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, FL, TX3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20090722000318 OK Practitioner - Psychiatry 9234281288 Reassigns benefits to 3 organizations
I20200311001315 FL Practitioner - PsychiatryPractitioner - Sleep MedicinePractitioner - Internal Medicine 9234281288
I20240807001422 TX Practitioner - Psychiatry 9234281288 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3401 W Gore Blvd
Lawton, OK 73505-6332

5404 SW Lee Blvd
Lawton, OK 73505-9521
Phone (580) 355-5242

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
ME132428FLMDPsychiatry Physician
26846OKMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Williams Medical Group Practice, LLC CurrentSince Jul 25, 2024 Accepting new patients
Comanche County Hospital Authority CurrentSince May 25, 2020 Accepting new patients
DCS Medical PA CurrentSince Jul 25, 2024 Accepting new patients
Judahcorp, Inc CurrentSince Sep 9, 2017 Accepting new patients
DCS Medical PA CurrentSince Jul 25, 2024 Accepting new patients
Comanche County Hospital Authority CurrentSince May 25, 2020 Accepting new patients
Williams Medical Group Practice, LLC CurrentSince Jul 25, 2024 Accepting new patients
Lotus Healing Centers, Inc. Past Accepting new patients
Williams Medical Group Practice, LLC Past Accepting new patients
Comanche County Hospital Authority Past Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Lotus Healing Centers, Inc. Past Accepting new patients

Locations

416 N Main St
Altus, OK 73521
Phone (580) 379-0325

901 W Main St
Durant, OK 74701
Phone (580) 634-2931

220 S Van Buren St
Enid, OK 73703
Phone (580) 234-9355

5404 SW Lee Blvd
Lawton, OK 73505
Phone (580) 355-5242

3811 W Gore Blvd
Lawton, OK 73505
Phone (580) 581-1500

6744 NW Cache Rd
Lawton, OK 73505
Phone (580) 536-9355

3401 W Gore Blvd
Lawton, OK 73505
Phone (580) 483-5207

1602 SW 82nd St
Lawton, OK 73505
Phone (580) 536-0077

777 NW 63rd St
Fl 2
Oklahoma City, OK 73116

701 Cedar Lake Blvd
Ste 120
Oklahoma City, OK 73114
Phone (405) 286-1170

371 Mercedes St
Benbrook, TX 76126
Phone (817) 448-8114

3201 University Dr E
Ste 135
Bryan, TX 77802
Phone (979) 703-1832

209 Kings Fort Pkwy
Kaufman, TX 75142
Phone (972) 703-9040

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 5

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": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668384000000",
    "number": "1134264591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 SPRING VILLAS PT STE 3000",
            "city": "WINTER SPRINGS",
            "state": "FL",
            "postal_code": "327085242",
            "telephone_number": "833-995-6887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 SPRING VILLAS PT STE 3000",
            "city": "WINTER SPRINGS",
            "state": "FL",
            "postal_code": "327085242",
            "telephone_number": "580-678-3518"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2720 Royal Troon Dr",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750256468",
            "country_code": "US",
            "telephone_number": "580-510-2780",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRBOVIC",
        "first_name": "SINISA",
        "middle_name": "MARKO",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME132428",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OK",
            "license": "26846",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "R59324877",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1134264591",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Springs, FL

Sources for this page

Verify at the official NPI Registry.