Active NPI
Alexander Stojadinovic, M.D.
- Surgery Physician
- Richmond, VA
National Provider Identifier
1689738403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 0101252563
- Practice address
- 5875 Bremo Rd
Suite 209
Richmond, VA 23226-1934 - Phone
- (804) 893-8681
- Fax
- (804) 287-8525
- NPI assigned
- Dec 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Oncology Physician | 2086X0206X | MD30874 | DC | |
| Surgery Physician | 208600000X | 0101252563 | VA | Primary |
Addresses
Primary practice location
5875 Bremo Rd
Suite 209
Richmond, VA 23226-1934
Mailing address
5875 Bremo Rd
Suite 209
Richmond, VA 23226-1934
Phone (804) 893-8681
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C06778 | Other | VA | GROUP PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101252563 | VA | MD | Surgery Physician |
| MD30874 | DC | MD | Surgical Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bon Secours Depaul Medical Center Inc | Past | Accepting new patients | |
| Bon Secours-St. Mary'S Hospital of Richmond, Inc. | Past | Accepting new patients | |
| Commonwealth Hearing AIDS Inc | Past | Accepting new patients | |
| Bon Secours-St. Mary'S Hospital of Richmond, Inc. | Surgical Oncology | Past | Accepting new patients |
Organizations & group practices 4
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.
-
dba Hampton Roads OB/GYN Center
- Obstetrics & Gynecology Physician
- Norfolk, VA
- NPI 1245467521
-
dba Bon Secours Infectious Disease Specialists
- Infectious Disease Physician
- Richmond, VA
- NPI 1063772143
-
dba Bon Secours Cancer Institute Surgical Oncology
- Surgical Oncology Physician
- Richmond, VA
- NPI 1396083721
-
- Hearing Instrument Specialist
- Richmond, VA
- NPI 1164353629
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408406400000",
"number": "1689738403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5875 BREMO RD",
"address_2": "SUITE 209",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232261934",
"telephone_number": "804-893-8681",
"fax_number": "804-287-8525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5875 BREMO RD",
"address_2": "SUITE 209",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232261934",
"telephone_number": "804-893-8681",
"fax_number": "804-287-8525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOJADINOVIC",
"first_name": "ALEXANDER",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-20",
"last_updated": "2014-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "2086X0206X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Oncology",
"state": "DC",
"license": "MD30874",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "VA",
"license": "0101252563",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP PTAN",
"identifier": "C06778",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2014; 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.