Angela Blagojevski, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

10001652A Issued in IN

Practice address

1500 US Highway 41
Schererville, IN 46375-1316

Phone

(219) 440-7373

NPI assigned

Feb 23, 2011

Sex

Female

Sole proprietor

No

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.

• Pic Indiana PC

  • Urgent Care Clinic/Center
  • Mishawaka, IN
  • NPI 1942546890

  IN, MI

  Medicare reassignment Care Compare group
• Physicians Immediate Care North Chicago LLC

  • Urgent Care Clinic/Center
  • Chicago, IL
  • NPI 1205814118

  IL

  Medicare reassignment Care Compare group
• Wellnow Urgent Care, PC

  • Urgent Care Clinic/Center
  • Liverpool, NY
  • NPI 1669825162

  IL, NY, PA

  Medicare reassignment Care Compare group
• Hometown Urgent Care of Michigan, P.C.

  • Urgent Care Clinic/Center
  • Huber Heights, OH
  • NPI 1790030385

  MI, OH

  Medicare reassignment
• Wellnow Urgent Care, P.C.

  • Clinical Medical Laboratory
  • Syracuse, NY
  • NPI 1992380547
  Care Compare group
• Wellnow Urgent Care, PC

  • Clinical Medical Laboratory
  • Melrose Park, IL
  • NPI 1275106726
  Care Compare group
• Hometown Urgent Care of Michigan, P.C.

  • Clinical Medical Laboratory
  • Kalamazoo, MI
  • NPI 1891469631
  NPD
• The Methodist Hospitals, Inc

  • Internal Medicine Physician
  • Gary, IN
  • NPI 1720290349
  NPD (past)
• Cardiac Surgery Associates SC

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Downers Grove, IL
  • NPI 1043269160
  NPD (past)
• Fastrac Medical, P.C.

  • Emergency Medicine Physician
  • Joliet, IL
  • NPI 1659517597
  NPD (past)
• Wellnow Urgent Care, PC

  • Urgent Care Clinic/Center
  • Jamestown, NY
  • NPI 1770850224
  NPD (past)

Specialty

Physician Assistant

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Physicians Immediate Care North Chicago LLC 256 clinicians

Wellnow Urgent Care, P.C. 395 clinicians

Pic Indiana PC 143 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in IL, IN, NY, OH, MI, PA6 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 19, 2014.

{
    "created_epoch": "1298419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403136000000",
    "number": "1336446699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 US HIGHWAY 41",
            "city": "SCHERERVILLE",
            "state": "IN",
            "postal_code": "463751316",
            "telephone_number": "219-440-7373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 US HIGHWAY 41",
            "city": "SCHERERVILLE",
            "state": "IN",
            "postal_code": "463751316",
            "telephone_number": "219-440-7373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAGOJEVSKI",
        "first_name": "ANGELA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-23",
        "last_updated": "2014-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IN",
            "license": "10001652A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINOIS PA LICENSE",
            "identifier": "085.003970",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIANA LICENSE NUMBER",
            "identifier": "10001652A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Claudia G Becerril-Clas, M.D.
• Benko Chiropractic Center P.C.
• Daniel Joseph Benko, D.C.
• Nicholas Jeffrey Berns, D.M.D.
• Shailesh Bhatt, MD
• Holly Blair, M.S. CCC-SLP
• Reuben E Blumberg, DDS
• Simone Kendall Bolden, LCSW
• Jeffrey A Bona Sr., DDS
• Mary Bond, SLP

• All providers in Schererville, IN
• Medical Physician Assistant in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2014; 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.

Verify at the official NPI Registry.