NPIMap

Individual provider Active NPI

Snezana M Zubic, MD

  • Internal Medicine Physician
  • Valparaiso, IN
National Provider Identifier
1578567145
Registry record updated May 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
01049443A Issued in IN
Practice address
3800 Saint Mary Rd
Ste 103
Valparaiso, IN 46383-3986
Phone
(219) 464-2123
Fax
(219) 464-0032
NPI assigned
Jun 10, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2015

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 01049443A IN Primary

Addresses

Primary practice location

3800 Saint Mary Rd
Ste 103
Valparaiso, IN 46383-3986

Mailing address

3800 Saint Mary Rd
Ste 103
Valparaiso, IN 46383-3986
Phone (219) 464-2123

Other identifiers 1

IdentifierTypeStateIssuer
200180100AMedicaidIN

Other names 1

  • Snezana Mitar Novokmet Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090928000708 IN Practitioner - Internal Medicine 5597811828 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Care Network IncGroup PAC ID 3678737012, 378 clinicians

Practice addresses (Care Compare)

3800 Saint Mary Rd
Valparaiso, IN 46383-3986

9130 Columbia Ave
Munster, IN 46321-2932

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01049443AINMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care Network Inc Internal Medicine CurrentSince Jul 1, 2012 Accepting new patients
Porter Physician Services LLC Internal Medicine Past Accepting new patients

Locations

1500 S Lake Park Ave
Hobart, IN 46342
Phone (219) 942-0551

9130 Columbia Ave
Ste A
Munster, IN 46321
Phone (219) 365-1166

2000 Roosevelt Rd
Ste 5
Valparaiso, IN 46383
Phone (219) 464-2123

3800 Saint Mary Rd
Ste 103
Valparaiso, IN 46383
Phone (219) 464-2123

Interoperability endpoints

  • Direct secure messaging: szubic15285@ssdirect.comhs.org

Organizations & group practices 2

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.

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": "1118361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430784000000",
    "number": "1578567145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 SAINT MARY RD",
            "address_2": "STE 103",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463833986",
            "telephone_number": "219-464-2123",
            "fax_number": "219-464-0032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 SAINT MARY RD",
            "address_2": "STE 103",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463833986",
            "telephone_number": "219-464-2123",
            "fax_number": "219-464-0032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUBIC",
        "first_name": "SNEZANA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-10",
        "last_updated": "2015-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01049443A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200180100A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SNEZANA",
            "last_name": "NOVOKMET",
            "middle_name": "MITAR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Valparaiso, IN

Sources for this page

Verify at the official NPI Registry.