Individual provider Active NPI

Aco Jovanov, MD

  • Family Medicine Physician
  • Dayton, OH
National Provider Identifier
1639179856
Registry record updated Mar 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35083791 Issued in OH
Practice address
9000 N Main St
Suite 403
Dayton, OH 45415-1180
Phone
(937) 836-5171
Fax
(937) 832-0728
NPI assigned
Jul 29, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35083791 OH Primary

Addresses

Primary practice location

9000 N Main St
Suite 403
Dayton, OH 45415-1180

Mailing address

9000 N Main St
Suite 403
Dayton, OH 45415-1180
Phone (937) 836-5171

Other identifiers 6

IdentifierTypeStateIssuer
7916625OtherOHAETNA DR JOVANOV
7231458OtherOHCIGNA
2468342MedicaidOH
7231458OtherOHCIGNA DR JOVANOV
0113381OtherOHUHC DR JOVANOV
000000339101OtherANTHEM BCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20040819000238 OH Practitioner - Family Practice 4486627189 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Wright State University Boonshoft School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Trihealth G LLCGroup PAC ID 0749222651, 294 clinicians
Wilmington Physicians Group LLCGroup PAC ID 4688853419, 23 clinicians

Practice addresses (Care Compare)

2001 Anderson Ferry Rd
Cincinnati, OH 45238-3325
Phone (513) 246-7000

2241 Rombach Ave
Wilmington, OH 45177-1995
Phone (937) 283-9910

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35083791OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wilmington Physicians Group LLC Family Medicine CurrentSince May 1, 2025 Accepting new patients
Trihealth G LLC Family Medicine CurrentSince Sep 1, 2025 Accepting new patients
Trihealth G, LLC CurrentSince Sep 1, 2025 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Greenville Emergency Physicians, Inc. Past Accepting new patients

Locations

2001 Anderson Ferry Rd
Cincinnati, OH 45238
Phone (513) 922-1200

9070 Winton Rd
Cincinnati, OH 45231
Phone (513) 246-2750

630 W Main St
Ste 207
Wilmington, OH 45177
Phone (937) 283-2570

2241 Rombach Ave
Wilmington, OH 45177
Phone (937) 283-9910

Interoperability endpoints

  • Direct secure messaging: aco.jovanov.2@6237.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/6237/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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.

Hospital & facility affiliations 2

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": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206403200000",
    "number": "1639179856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9000 N MAIN ST",
            "address_2": "SUITE 403",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454151180",
            "telephone_number": "937-836-5171",
            "fax_number": "937-832-0728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 N MAIN ST",
            "address_2": "SUITE 403",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454151180",
            "telephone_number": "937-836-5171",
            "fax_number": "937-832-0728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOVANOV",
        "first_name": "ACO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-29",
        "last_updated": "2008-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35083791",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA DR JOVANOV",
            "identifier": "7916625",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "7231458",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2468342",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA DR JOVANOV",
            "identifier": "7231458",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC DR JOVANOV",
            "identifier": "0113381",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000339101",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.