NPIMap

Individual provider Active NPI

John N Didovic, MD

  • Vascular & Interventional Radiology Physician
  • Miami Beach, FL
National Provider Identifier
1255364378
Registry record updated Mar 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
ME72013 Issued in FL
Practice address
4300 Alton Rd
Miami Beach, FL 33140-2948
Phone
(305) 674-2680
Fax
(305) 674-3919
NPI assigned
Jul 9, 2006
Last updated
Mar 9, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X ME72013 FL
Vascular & Interventional Radiology Physician 2085R0204X ME72013 FL Primary

Addresses

Primary practice location

4300 Alton Rd
Miami Beach, FL 33140-2948

Mailing address

720 Lake Rd
Miami, FL 33137-3331
Phone (305) 674-2680

Other identifiers 2

IdentifierTypeStateIssuer
35627OtherFLBCBSF
260402700MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070718000261 FL Practitioner - Diagnostic Radiology 9830290030 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Florida College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology of MSMC, LLCGroup PAC ID 7517132970, 22 clinicians

Practice addresses (Care Compare)

2505 Flagler Ave
Key West, FL 33040-3934
Phone (305) 295-6790

2845 Aventura Blvd
Aventura, FL 33180-3118
Phone (305) 674-3905

4300 Alton Rd
Miami, FL 33140-2948
Phone (305) 674-3905

6050 W 20TH Ave
Hialeah, FL 33016-2605
Phone (786) 584-5555

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sheridan Radiology Services of South Florida, Inc Diagnostic Radiology Past Accepting new patients
Enlighten Radiology of Florida PLLC Diagnostic Radiology Past Accepting new patients
Diagnostic Imaging Associates LLC Diagnostic Radiology Past Accepting new patients
Life Radiology LLC Past Accepting new patients
Florida Medical Specialists LLC Past Accepting new patients
Stoutamyer Stratos Schroeder Whaley & Rizzo MDS PA Diagnostic Radiology Past Accepting new patients

Organizations & group practices 7

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.

Hospital & facility affiliations 4

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": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457481600000",
    "number": "1255364378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 LAKE RD",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331373331",
            "telephone_number": "305-674-2680",
            "fax_number": "305-674-3919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 ALTON RD",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331402948",
            "telephone_number": "305-674-2680",
            "fax_number": "305-674-3919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIDOVIC",
        "first_name": "JOHN",
        "middle_name": "N",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-09",
        "last_updated": "2016-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME72013",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "FL",
            "license": "ME72013",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSF",
            "identifier": "35627",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "260402700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.