Active NPI
Dzevida Pandzic
- Physician Assistant
- Cedar Rapids, IA
National Provider Identifier
1134854128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 1201 3Rd Ave SE
Cedar Rapids, IA 52403-4009 - Phone
- (319) 730-7300
- NPI assigned
- Jul 22, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 115547 | IA | |
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
1201 3Rd Ave SE
Cedar Rapids, IA 52403-4009
Mailing address
1201 3Rd Ave SE
Cedar Rapids, IA 52403-4009
Phone (319) 730-7300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Eastern Iowa Health Center
Practice addresses (Care Compare)
1201 3Rd Ave SE
Cedar Rapids, IA 52403-4009
Phone (319) 730-7300
1225 3Rd Ave SE
Cedar Rapids, IA 52403-4009
Phone (319) 730-7300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Organizations & group practices 5
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.
-
- Optometrist
- Cedar Rapids, IA
- NPI 1144188574
-
- Community/Retail Pharmacy
- Cedar Rapids, IA
- NPI 1346048675
-
- General Practice Dentistry
- Cedar Rapids, IA
- NPI 1437600053
-
- Family Medicine Physician
- Cedar Rapids, IA
- NPI 1578753703
-
- Family Medicine Physician
- Cedar Rapids, IA
- NPI 1598216244
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677283200000",
"number": "1134854128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 3RD AVE SE",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524034009",
"telephone_number": "319-730-7300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 3RD AVE SE",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524034009",
"telephone_number": "319-730-7300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANDZIC",
"first_name": "DZEVIDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-22",
"last_updated": "2023-02-25",
"certification_date": "2023-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IA",
"license": "115547",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cedar Rapids, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2023; 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.