Active NPI
Bojan Pavlovic, MD
- Pain Medicine Physician
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- License
- ME147230
- Practice address
- 1170 S Semoran Blvd
Orlando, FL 32807-1458 - Phone
- (321) 710-8052
- Fax
- (407) 599-7246
- NPI assigned
- Aug 8, 2007
- Last updated
- Apr 20, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine Physician | 208VP0000X | ME147230 | FL | Primary |
| Interventional Pain Medicine Physician | 208VP0014X | 4301089505 | MI | |
| Interventional Pain Medicine Physician | 208VP0014X | 036.115520 | IL |
Addresses
Primary practice location
1170 S Semoran Blvd
Orlando, FL 32807-1458
Mailing address
11350 McCormick Rd.
Executive Plaza 1, Suite 501
Hunt Valley, MD 21031
Phone (678) 841-7123
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036.115220 | Other | IL | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Pain Management
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ability Health Services, IncAbility Health Services and Rehabilitation LP
Practice addresses (Care Compare)
1200 Lexington Green LN
Sanford, FL 32771-1013
725 W Granada Blvd
Suite 22
Ormond Beach, FL 32174-9406
Phone (386) 788-2300
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.115520 | IL | MD | Interventional Pain Medicine Physician |
| 4301089505 | MI | MD | Interventional Pain Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Pain and Rehabilitation Associates Inc | Interventional Pain Medicine | Current | Accepting new patients |
| National Surgical Centers of America LLC | Current | Accepting new patients | |
| Coastal Neurology, Inc. | Interventional Pain Medicine | Current | Accepting new patients |
| Florida Pain and Rehabilitation Associates Inc | Current | Accepting new patients | |
| National Surgical Centers of America LLC | Current | Accepting new patients | |
| Florida Pain and Rehabilitation Associates Inc | Interventional Pain Medicine | Current | Accepting new patients |
| National Surgical Centers of America LLC | Current | Accepting new patients | |
| Gibson Community Hospital Association | Past | Accepting new patients | |
| Saginaw Anesthesia Services, PLLC | Past | Accepting new patients | |
| Southern Michigan Pain Consultants PC | Interventional Pain Medicine | Past | Accepting new patients |
| Illinois Neurological Institute-Physicians LLC | Past | Accepting new patients |
Locations
5365 Atlantic Ave
Ste 501
Delray Beach, FL 33484
Phone (561) 279-3500
1170 S Semoran Blvd
Orlando, FL 32807
Phone (407) 622-7246
725 W Granada Blvd
Ste 22
Ormond Beach, FL 32174
Phone (386) 274-0097
150 SW Chamber Ct
Ste 105
Port St Lucie, FL 34986
Phone (772) 807-9000
13945 N US Highway 441
The Villages, FL 32159
Phone (352) 277-3500
1693 Lee Rd
Ste A
Winter Park, FL 32789
Phone (407) 287-4300
1693 Lee Rd
Ste B
Winter Park, FL 32789
Phone (407) 622-5766
11350 McCormick Rd
Ste 501
Hunt Valley, MD 21031
Phone (410) 329-1071
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 12
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Coastal Pain Mgmt, Neurology & Rehabilitation
- Neurology Physician
- Ormond Beach, FL
- NPI 1457358434
Interventional Pain Medicine
-
- Interventional Pain Medicine Physician
- Delray Beach, FL
- NPI 1902064876
-
dba NSCOA The Villages
- Ambulatory Surgical Clinic/Center
- Lady Lake, FL
- NPI 1063853174
-
dba Nscoa
- Ambulatory Surgical Clinic/Center
- Winter Park, FL
- NPI 1770724122
-
dba NSCOA Delray Beach
- Ambulatory Surgical Clinic/Center
- Delray Beach, FL
- NPI 1992040976
-
dba NSCOA Port St. Lucie
- Ambulatory Surgical Clinic/Center
- Port St Lucie, FL
- NPI 1346662186
-
- Specialist
- Delray Beach, FL
- NPI 1053363457
Interventional Pain Medicine
-
- Specialist
- Fort Lauderdale, FL
- NPI 1598347726
-
dba Gibson Area Hospital and Health Services
- Critical Access Hospital
- Gibson City, IL
- NPI 1114935681
-
- Neurological Surgery Physician
- Peoria, IL
- NPI 1841447653
-
- Anesthesiology Physician
- Saginaw, MI
- NPI 1205083615
-
dba Axia Spine and Pain
- Interventional Pain Medicine Physician
- Portage, MI
- NPI 1538119391
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618876800000",
"number": "1760673206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11350 MCCORMICK RD.",
"address_2": "EXECUTIVE PLAZA 1, SUITE 501",
"city": "HUNT VALLEY",
"state": "MD",
"postal_code": "21031",
"telephone_number": "678-841-7123",
"fax_number": "678-841-7135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1170 S SEMORAN BLVD",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328071458",
"telephone_number": "321-710-8052",
"fax_number": "407-599-7246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAVLOVIC",
"first_name": "BOJAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-08-08",
"last_updated": "2021-04-20",
"certification_date": "2021-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "FL",
"license": "ME147230",
"primary": true
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "MI",
"license": "4301089505",
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "IL",
"license": "036.115520",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "036.115220",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.