Slobodan Kovacevic, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301083435 Issued in MI

Practice address

27351 Dequindre Rd
Madison Heights, MI 48071-3487

Phone

(248) 248-9677

NPI assigned

May 24, 2007

Sex

Male

Sole proprietor

No

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

Interoperability endpoints

• Direct secure messaging: skovacevic1135141@direct.hfhs.org

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609087204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1835 VAN COURTLAND DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480831881",
            "telephone_number": "248-743-0114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27351 DEQUINDRE RD",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480713487",
            "telephone_number": "248-248-9677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOVACEVIC",
        "first_name": "SLOBODAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301083435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Kolundzic Grgic, DO
• Lisa Ann Kopacka-Jones, LMSW
• Kerrie Kopicko, DO
• Julia Korte
• Jimmy Koshy
• Philip Gordon Kraft
• Michael E Kramer, M.D.
• Karin Adele Kramp, BEHAVIOR TECHNICIAN
• Zachary Kranz, DO
• Nicholas Kropp

• Internal Medicine Physician in Madison Heights, MI
• Providers in Madison Heights, MI by specialty
• Internal Medicine Physician in Michigan

• 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.