Active NPI
Stefan Kovacevic, MD
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Fredericksburg, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- License
- 0101288593
- Practice address
- 4600 Spotsylvania Pkwy
Fredericksburg, VA 22408-7762 - Phone
- (540) 498-4000
- NPI assigned
- Mar 23, 2021
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 4351049523 | MI | |
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | 0101288593 | VA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Emergency Medicine Physician | 207P00000X | MD-56342 | IA | |
| Emergency Medicine Physician | 207P00000X | 0101288593 | VA |
Addresses
Primary practice location
4600 Spotsylvania Pkwy
Fredericksburg, VA 22408-7762
Mailing address
4600 Spotsylvania Pkwy
Fredericksburg, VA 22408-7762
Phone (540) 498-4000
Other practice location 1
355 Ridge Ave
Evanston, IL 60202-3328
Phone (847) 316-4000
Other practice location 2
36475 Five Mile Rd
Livonia, MI 48154-1971
Phone (847) 749-5395
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA, VA
- 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
- Emergency Medicine
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1901 Tate Springs Rd
Lynchburg, VA 24501-1109
Phone (434) 947-3033
515 College St
Cedar Falls, IA 50613-2500
Phone (319) 268-3000
Hospital & facility affiliations
- Sartori Memorial Hospital, Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD-56342 | IA | MD | Emergency Medicine Physician |
| 0101288593 | VA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cedar Falls Emergency Physicians, LLC | Emergency Medicine | Current | Accepting new patients |
Locations
515 College St
Cedar Falls, IA 50613
Phone (319) 268-3000
Interoperability endpoints
- skovacevic1025790@direct.hfhs.org
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.
-
- Emergency Medicine Physician
- Cedar Falls, IA
- NPI 1255146155
-
- Family Medicine Physician
- Lynchburg, VA
- NPI 1649228966
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cedar Falls, IA
- NPI 1942241955
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785283200000",
"number": "1184200610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4600 SPOTSYLVANIA PKWY",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224087762",
"telephone_number": "540-498-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4600 SPOTSYLVANIA PKWY",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224087762",
"telephone_number": "540-498-4000"
}
],
"practiceLocations": [
{
"address_1": "355 Ridge Ave",
"address_purpose": "LOCATION",
"city": "Evanston",
"state": "IL",
"postal_code": "602023328",
"country_code": "US",
"telephone_number": "847-316-4000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "36475 Five Mile Rd",
"address_purpose": "LOCATION",
"city": "Livonia",
"state": "MI",
"postal_code": "481541971",
"country_code": "US",
"telephone_number": "847-749-5395",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOVACEVIC",
"first_name": "STEFAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-03-23",
"last_updated": "2026-07-29",
"certification_date": "2026-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MI",
"license": "4351049523",
"primary": false
},
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "VA",
"license": "0101288593",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IA",
"license": "MD-56342",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "VA",
"license": "0101288593",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fredericksburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; 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.