Individual provider Active NPI

Velimir A Micovic, MD

  • Pain Medicine (Anesthesiology) Physician
  • Fort Myers, FL
National Provider Identifier
1265422794
Registry record updated May 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
ME 79625 Issued in FL
Practice address
7964 Summerlin Lakes Dr
Fort Myers, FL 33907-1816
Phone
(239) 333-1177
Fax
(239) 333-1169
NPI assigned
Oct 26, 2005
Last updated
May 2, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X ME 79625 FL Primary

Addresses

Primary practice location

7964 Summerlin Lakes Dr
Fort Myers, FL 33907-1816

Mailing address

PO Box 7440
Fort Myers, FL 33911-7440
Phone (239) 333-1177

Other practice location 1

1031 SE 9th Pl Unit 5
Cape Coral, FL 33990-3003
Phone (239) 333-1177 ext. 3216

Other practice location 2

9400 Bonita Beach Rd SE Ste 101
Bonita Springs, FL 34135-4520
Phone (239) 333-1177 ext. 3216

Other identifiers 1

IdentifierTypeStateIssuer
259135900MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040820000583 FL Practitioner - Pain Management 5193799740 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
96.19 of 100Reported as group
Promoting interoperability
92
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 79625FLMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Pain and Rehabilitation Associates Inc Current Accepting new patients
Joint Implant Surgeons of Florida PA CurrentSince Aug 1, 2015 Accepting new patients
Joint Implant Surgeons of Florida PA Pain Medicine CurrentSince Aug 1, 2015 Accepting new patients
Florida Pain and Rehabilitation Associates Inc CurrentSince Sep 2, 2020 Accepting new patients
Pain Management Consultants of Southwest Florida, PL Current Accepting new patients
Pain Management Consultants of Southwest Florida, PL Pain Medicine CurrentSince Oct 1, 2005 Accepting new patients
Florida Pain and Rehabilitation Associates Inc CurrentSince Sep 2, 2020 Accepting new patients
Jennifer Sassi PA PastSince Feb 5, 2014 Accepting new patients
Medical Anesthesia and Pain Management Consultants, P.a. PastSince May 1, 2015 Accepting new patients

Locations

9400 Bonita Beach Rd SE
Ste 101
Bonita Springs, FL 34135
Phone (239) 333-1177

1031 SE 9th Pl
Unit 5
Cape Coral, FL 33990
Phone (239) 333-1177

636 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 332-5344

2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000

7331 College Pkwy
Ste 300
Fort Myers, FL 33907
Phone (239) 337-2003

7964 Summerlin Lakes Dr
Fort Myers, FL 33907
Phone (239) 333-1177

150 SW Chamber Ct
Ste 105
Port St Lucie, FL 34986
Phone (772) 807-9000

13945 N US Highway 441
The Villages, FL 32159
Phone (352) 277-3500

1693 Lee Rd
Ste B
Winter Park, FL 32789
Phone (407) 622-5766

11350 McCormick Rd
Ste 501
Hunt Valley, MD 21031
Phone (410) 329-1071

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556755200000",
    "number": "1265422794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7440",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339117440",
            "telephone_number": "239-333-1177",
            "fax_number": "239-939-4733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7964 SUMMERLIN LAKES DR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339071816",
            "telephone_number": "239-333-1177",
            "fax_number": "239-333-1169"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1031 SE 9th Pl Unit 5",
            "address_purpose": "LOCATION",
            "city": "Cape Coral",
            "state": "FL",
            "postal_code": "339903003",
            "country_code": "US",
            "telephone_number": "239-333-1177 x3216",
            "fax_number": "239-333-1169",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9400 Bonita Beach Rd SE Ste 101",
            "address_purpose": "LOCATION",
            "city": "Bonita Springs",
            "state": "FL",
            "postal_code": "341354520",
            "country_code": "US",
            "telephone_number": "239-333-1177 x3216",
            "fax_number": "239-333-1169",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MICOVIC",
        "first_name": "VELIMIR",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-26",
        "last_updated": "2019-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "FL",
            "license": "ME 79625",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "259135900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.