Miroslav Grgurevic, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

A40300 Issued in CA

Practice address

825 Delbon Ave
Turlock, CA 95382

Phone

(209) 667-4200

Fax

(209) 669-2377

NPI assigned

May 19, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Miroslav Grgurevic, MD Inc.

  • Anesthesiology Physician
  • Turlock, CA
  • NPI 1215189014
  NPD Authorized official

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331769600000",
    "number": "1497709125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7096",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "95267",
            "telephone_number": "209-956-7725",
            "fax_number": "209-956-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 DELBON AVE",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "95382",
            "telephone_number": "209-667-4200",
            "fax_number": "209-669-2377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRGUREVIC",
        "first_name": "MIROSLAV",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2012-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A40300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A403000",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bryan Green, HEARING AID DISPENSE
• Joni Green, LMFT
• Kristi Green, HEARING AID DISPENSE
• Tarina Marie Green, ATC
• James Robert Greenbarg, M.D.
• Winnifred V Griffin, PHYSCIAN ASST.
• Leah Griffith, BCBA
• Jordynn Breann Grigsby
• Bo Gu, MD
• Lucia Guerrero

• Anesthesiology Physician in Turlock, CA
• Providers in Turlock, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.