Dusan Dragovic, MD, Fasn, LLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

ME89623 Issued in FL

Legal business name

DUSAN DRAGOVIC, MD, FASN, LLC

Practice address

5300 W Hillsboro Blvd
206
Coconut Creek, FL 33073-4395

Phone

(954) 420-9908

NPI assigned

May 11, 2012

Organization subpart

No

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

Authorized official

Name

Dusan Dragovic, MDNPI 1245285212

Title

MD

Phone

(954) 420-9908

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Networks

• HealthSun Health Plans Network

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dusan Dragovic, M.D.

  • Nephrology Physician
  • Coconut Creek, FL
  • NPI 1245285212
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1336694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336694400000",
    "number": "1558620591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 W HILLSBORO BLVD",
            "address_2": "206",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330734395",
            "telephone_number": "954-420-9908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 W HILLSBORO BLVD",
            "address_2": "206",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330734395",
            "telephone_number": "954-420-9908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUSAN DRAGOVIC, MD, FASN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-11",
        "last_updated": "2012-05-11",
        "status": "A",
        "authorized_official_last_name": "DRAGOVIC",
        "authorized_official_first_name": "DUSAN",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "954-420-9908",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME89623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dusan Dragovic, M.D.
• Christian Drummond
• Chandly Dubreuze II, BCABA
• Marie-Claude Dubuc, PA-C
• Jane Dupra Duran, APRN
• Dynamic Mobile Ultrasound, LLC
• Edward J Kaplan, MD, PA
• Nielly Tracy Edwards, ARNP-BC
• Elevance Health
• Diamela Elias Batchelor

• Nephrology Physician in Coconut Creek, FL
• Providers in Coconut Creek, FL by specialty
• Nephrology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.