Dusan Sima Teodorovic, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25080 Issued in TN

Practice address

Vojvode Misica 1
Vrsac, SERBIA 26300
CS

Phone

38163249920

Fax

38113834214

NPI assigned

Apr 11, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

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  NPD (past)

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427271105",
    "addresses": [
        {
            "country_code": "CS",
            "country_name": "Serbia and Montenegro",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "VOJVODE MISICA 1",
            "city": "VRSAC",
            "state": "SERBIA",
            "postal_code": "26300",
            "telephone_number": "38163249920",
            "fax_number": "38113834214"
        },
        {
            "country_code": "CS",
            "country_name": "Serbia and Montenegro",
            "address_purpose": "LOCATION",
            "address_type": "FGN",
            "address_1": "VOJVODE MISICA 1",
            "city": "VRSAC",
            "state": "SERBIA",
            "postal_code": "26300",
            "telephone_number": "38163249920",
            "fax_number": "38113834214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEODOROVIC",
        "first_name": "DUSAN",
        "middle_name": "SIMA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "25080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.