Dejan Zivkovic, MS

Primary specialty

Anesthesiologist AssistantTaxonomy code 367H00000X

License

67000093 Issued in OH

Practice address

850 Columbia Rd
Westlake, OH 44145-1493

Phone

(440) 808-4000

NPI assigned

Aug 10, 2005

Last updated

Mar 17, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Specialty

Anesthesiology Assistant

Education

Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southwest General Medical Group IncGroup PAC ID 8527964550, 232 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Southwest General Health Center Hospital, Middleburg Heights, OH, CCN 360155

Merit-based Incentive Payment System (MIPS)

Final score

81.06 of 100Reported as group

Quality

63.56

Promoting interoperability

100

Improvement activities

40

Cost

73.3

Merit-based Incentive Payment System (MIPS)

Final score

78.79 of 100Reported as group

Quality

71.01

Improvement activities

40

Cost

82.45

Medicare enrollment (NPD)

Enrolled

Credentials

Associate of Arts, Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Southwest General Medical Group Inc

  • Internal Medicine Physician
  • Cleveland, OH
  • NPI 1134239676
  Medicare reassignment Care Compare group NPD
• Ohio Anesthesia Group, Inc

  • Anesthesiology Physician
  • Canton, OH
  • NPI 1639348113
  Medicare reassignment NPD
• Southwest General Medical Group Inc

  • Durable Medical Equipment & Medical Supplies
  • Middleburg HTS, OH
  • NPI 1588393979
  NPD
• Southwest General Medical Group, Inc.

  • Psychiatry Physician
  • Cleveland, OH
  • NPI 1588713341
  NPD
• Anesthesia Associates, PLL

  • Specialist
  • Painesville, OH
  • NPI 1801823182
  NPD (past)
• Northcoast Anesthesia Providers

  • Critical Care Medicine (Anesthesiology) Physician
  • Westlake, OH
  • NPI 1982697116
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Southwest General Health Center

  • General Acute Care Hospital
  • Cleveland, OH
  • NPI 1154353993
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205712000000",
    "number": "1255333282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 567",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440220567",
            "telephone_number": "216-464-5160",
            "fax_number": "216-464-5982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 COLUMBIA RD",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441451493",
            "telephone_number": "440-808-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIVKOVIC",
        "first_name": "DEJAN",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2008-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367H00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiologist Assistant",
            "state": "OH",
            "license": "67000093",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2375522",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ann Zeman, BCBA
• Marian Zgodinski, DO
• Mei Zhu, NP
• Kurt Matthew Zillmann, PT
• Paul Evan Zimpelmann
• Jed Michael Zoghaib
• Brad Jason Zreny, PT
• Candace Folley Zubricky, MD
• Sara Eileen Zuchowski, MD

• Anesthesiologist Assistant in Westlake, OH
• Providers in Westlake, OH by specialty
• Anesthesiologist Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.