Individual provider Active NPI

Edin Pujagic, D.O.

  • Internal Medicine Physician
  • Pensacola, FL
National Provider Identifier
1285085399
Registry record updated Dec 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
DO-05401 Issued in IA
Practice address
1717 N E St Ste 439
Pensacola, FL 32501-6338
Phone
(850) 432-3692
NPI assigned
Jun 29, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X DO-05401 IA Primary

Addresses

Primary practice location

1717 N E St Ste 439
Pensacola, FL 32501-6338

Mailing address

1717 N E St
Ste 439
Pensacola, FL 32501-6338

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
I20210823000585 FL Practitioner - Infectious Disease 2860787850 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Infectious Disease Group, PAGroup PAC ID 9537197074, 3 clinicians

Practice addresses (Care Compare)

1717 N E St
Suite 439
Pensacola, FL 32501-6337
Phone (850) 432-3692

Hospital & facility affiliations

  • Baptist Home Health Care Home health agency, Pensacola, FL, CCN 107006
  • Amedisys Home Health Home health agency, Pensacola, FL, CCN 108309
  • Baptist Hospital Hospital, Pensacola, FL, CCN 100093
  • Gulf Breeze Hospital Hospital, Gulf Breeze, FL, CCN 100266
  • Santa Rosa Medical Center Hospital, Milton, FL, CCN 100124
  • Sacred Heart Hospital Hospital, Pensacola, FL, CCN 100025
  • D W McMillan Memorial Hospital Hospital, Brewton, AL, CCN 010099

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO-05401IAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Infectious Disease Group, PA CurrentSince Aug 13, 2021 Accepting new patients

Locations

1717 N E St
Ste 439
Pensacola, FL 32501
Phone (850) 432-3692

5120 Bayou Blvd
Ste 11
Pensacola, FL 32503
Phone (850) 432-3692

Interoperability endpoints

  • Direct secure messaging: epujagic@idg.gwaydirect.com

Organizations & group practices 1

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.

Hospital & facility affiliations 7

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": "1467158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672099200000",
    "number": "1285085399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 N E ST",
            "address_2": "STE 439",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325016338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 N E ST STE 439",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325016338",
            "telephone_number": "850-432-3692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUJAGIC",
        "first_name": "EDIN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-29",
        "last_updated": "2022-12-27",
        "certification_date": "2022-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IA",
            "license": "DO-05401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.