Individual provider Active NPI

Biljana Pavlovic-Surjancev, MD, PHD

  • Cardiovascular Disease Physician
  • Arlington Heights, IL
National Provider Identifier
1811066301
Registry record updated Jan 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
036095027 Issued in IL
Practice address
1604 W Central Rd
Arlington Heights, IL 60005-2407
Phone
(630) 842-6496
Fax
(630) 792-9517
NPI assigned
Nov 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 1, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036095027 IL
Cardiovascular Disease Physician 207RC0000X 036095027 IL Primary

Addresses

Primary practice location

1604 W Central Rd
Arlington Heights, IL 60005-2407

Mailing address

1783 W Windmill CT
Addison, IL 60101-1865
Phone (630) 842-6496

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address bpavlovicsurjancev237647@direct.myadvocateaurora.org Direct
FHIR URL https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20040526000939 IL Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology)Practitioner - Interventional Radiology 5294716247 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Cardiovascular Disease (Cardiology)
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

715 W Lake St
Suite 104
Addison, IL 60101-2082
Phone (331) 225-2950

Hospital & facility affiliations

  • Alexian Brothers Medical Center 1 Hospital, Elk Grove Village, IL, CCN 140258
  • Elmhurst Memorial Hospital Hospital, Elmhurst, IL, CCN 140200

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036095027ILMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical and Heart Clinic, S.C. Internal Medicine CurrentSince Sep 15, 2012 Accepting new patients
Loyola University Physician Foundation Past Accepting new patients

Locations

221 E Lake St
Ste 109
Addison, IL 60101
Phone (630) 842-6496

715 W Lake St
Ste 104
Addison, IL 60101
Phone (630) 366-6681

1604 W Central Rd
Arlington Hts, IL 60005
Phone (847) 394-1414

4938 W 95th St
Oak Lawn, IL 60453
Phone (708) 425-4662

Interoperability endpoints

  • Direct secure messaging: bpavlovicsurjancev237647@direct.myadvocateaurora.org

Organizations & group practices 2

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 2

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

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640995200000",
    "number": "1811066301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1783 W WINDMILL CT",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "601011865",
            "telephone_number": "630-842-6496",
            "fax_number": "630-792-9517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1604 W CENTRAL RD",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600052407",
            "telephone_number": "630-842-6496",
            "fax_number": "630-792-9517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAVLOVIC-SURJANCEV",
        "first_name": "BILJANA",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2022-01-01",
        "certification_date": "2022-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036095027",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036095027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bpavlovicsurjancev237647@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1604 W Central Rd",
            "city": "Arlington Heights",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600052407",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "1604 W Central Rd",
            "city": "Arlington Heights",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600052407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

Verify at the official NPI Registry.