Individual provider Active NPI

Bojan Pavlovic, MD

  • Pain Medicine Physician
  • Orlando, FL
National Provider Identifier
1760673206
Registry record updated Apr 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
ME147230 Issued in FL
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, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
036.115220OtherILLICENSE

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201103000668 FL Practitioner - Interventional Pain ManagementPractitioner - AnesthesiologyPractitioner - Pain Management 2769544451 Reassigns benefits to 6 organizations

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, IncGroup PAC ID 4082523329, 1,249 clinicians
Ability Health Services and Rehabilitation LPGroup PAC ID 4981986288, shared by 2 NPIs, 1,260 clinicians
Coastal Neurology IncGroup PAC ID 4082669478, 9 clinicians

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 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.115520ILMDInterventional Pain Medicine Physician
4301089505MIMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Pain and Rehabilitation Associates Inc Interventional Pain Medicine Current Accepting new patients
National Surgical Centers of America LLC CurrentSince Oct 1, 2020 Accepting new patients
Coastal Neurology, Inc. Interventional Pain Medicine CurrentSince Nov 24, 2021 Accepting new patients
Florida Pain and Rehabilitation Associates Inc CurrentSince Oct 1, 2020 Accepting new patients
National Surgical Centers of America LLC CurrentSince Oct 1, 2020 Accepting new patients
Florida Pain and Rehabilitation Associates Inc Interventional Pain Medicine CurrentSince Oct 1, 2020 Accepting new patients
National Surgical Centers of America LLC CurrentSince Oct 1, 2020 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.