Individual provider Active NPI

Slavica Gjorgjevska-Smiljkovich, MD

  • Pediatrics Physician
  • Chesterfield, MI
National Provider Identifier
1740786755
Registry record updated May 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
4301502456 Issued in MI
Practice address
30795 23 Mile Rd.
Suite #202
Chesterfield, MI 48047
Phone
(586) 421-1740
Fax
(586) 421-1744
NPI assigned
Mar 30, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 4301502456 MI Primary

Addresses

Primary practice location

30795 23 Mile Rd.
Suite #202
Chesterfield, MI 48047

Mailing address

30795 23 Mile Rd.
Suite #202
Chesterfield, MI 48047
Phone (586) 421-1740

Other names 1

  • Slavica Gjorgjevska Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20180608001524 MI Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 2860747177

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301502456MIMDPediatrics Physician

Interoperability endpoints

  • Direct secure messaging: sgjorgjevska646012@direct.hfhs.org

NPI Registry JSON

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

{
    "created_epoch": "1522368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684972800000",
    "number": "1740786755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30795 23 MILE RD.",
            "address_2": "SUITE #202",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "48047",
            "telephone_number": "586-421-1740",
            "fax_number": "586-421-1744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30795 23 MILE RD.",
            "address_2": "SUITE #202",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "48047",
            "telephone_number": "586-421-1740",
            "fax_number": "586-421-1744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GJORGJEVSKA-SMILJKOVICH",
        "first_name": "SLAVICA",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-30",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301502456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SLAVICA",
            "last_name": "GJORGJEVSKA",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chesterfield, MI

Sources for this page

Verify at the official NPI Registry.