NPIMap

Individual provider Active NPI

Vladimir Markovic, M.D.

  • General Practice Physician
  • Norfolk, VA
National Provider Identifier
1710266796
Registry record updated Sep 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
0101256281 Issued in VA
Practice address
3415 Granby St
Norfolk, VA 23504-1421
Phone
(757) 533-9108
Fax
(757) 622-6381
NPI assigned
Aug 9, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 0101256281 VA Primary

Addresses

Primary practice location

3415 Granby St
Norfolk, VA 23504-1421

Mailing address

664 Lincoln St
Portsmouth, VA 23704-4818
Phone (757) 533-9108

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20141218001589 VA Practitioner - Family Practice 0941523112 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Portsmouth Community Health Center IncGroup PAC ID 1052301835, shared by 5 NPIs, 5 clinicians

Practice addresses (Care Compare)

1541 High St
Portsmouth, VA 23704-3209
Phone (757) 393-6363

7447 Central Business Park Dr
Norfolk, VA 23513-2831

9581 Shore Dr
Norfolk, VA 23518-1711
Phone (757) 393-6363

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Portsmouth Community Health Center, Inc CurrentSince Sep 23, 2014 Accepting new patients
Portsmouth Community Health Center, Inc. Current Accepting new patients
Portsmouth Community Health Center Inc CurrentSince Sep 23, 2014 Accepting new patients

Locations

3415 Granby St
Norfolk, VA 23504
Phone (757) 533-9108

7447 Central Business Park Dr
Norfolk, VA 23513
Phone (757) 393-6363

1541 High St
Portsmouth, VA 23704
Phone (757) 393-6363

664 Lincoln St
Portsmouth, VA 23704
Phone (757) 393-6363

Interoperability endpoints

  • Direct secure messaging: vladimir.markovic@hrchc.eclinicaldirectplus.com

Organizations & group practices 3

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 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1312848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537401600000",
    "number": "1710266796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "664 LINCOLN ST",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237044818",
            "telephone_number": "757-533-9108",
            "fax_number": "757-622-6381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3415 GRANBY ST",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235041421",
            "telephone_number": "757-533-9108",
            "fax_number": "757-622-6381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKOVIC",
        "first_name": "VLADIMIR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-09",
        "last_updated": "2018-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "VA",
            "license": "0101256281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.