Active NPI
Nino Mario Dobrovic, M.D.
- Interventional Pain Medicine Physician
- Sterling, VA
National Provider Identifier
1841255866
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- 0101051921
- Practice address
- 46400 Benedict Dr Ste 1
Sterling, VA 20164-6604 - Phone
- (703) 444-2592
- Fax
- (703) 444-2593
- NPI assigned
- Apr 20, 2006
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 0101051921 | VA | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 0101051921 | VA | |
| Physical Medicine & Rehabilitation Physician | 208100000X | 0101051921 | VA | |
| Interventional Pain Medicine Physician | 208VP0014X | 0101051921 | VA | Primary |
Addresses
Primary practice location
46400 Benedict Dr Ste 1
Sterling, VA 20164-6604
Mailing address
46400 Benedict Dr Ste 1
Sterling, VA 20164-6604
Phone (703) 444-2592
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101051921 | VA | MD | Pain Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virginia Pain Specialists, Inc. | Interventional Pain Medicine | Past | Accepting new patients |
| Advanced Pain Relief Centers Inc | Specialist | Past | Accepting new patients |
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.
-
- Interventional Pain Medicine Physician
- Sterling, VA
- NPI 1194937912
-
- Specialist
- Winchester, VA
- NPI 1639281785
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607990400000",
"number": "1841255866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "46400 BENEDICT DR STE 1",
"city": "STERLING",
"state": "VA",
"postal_code": "201646604",
"telephone_number": "703-444-2592",
"fax_number": "703-444-2593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "46400 BENEDICT DR STE 1",
"city": "STERLING",
"state": "VA",
"postal_code": "201646604",
"telephone_number": "703-444-2592",
"fax_number": "703-444-2593"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOBROVIC",
"first_name": "NINO",
"middle_name": "MARIO",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-20",
"last_updated": "2020-12-15",
"certification_date": "2020-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "VA",
"license": "0101051921",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "VA",
"license": "0101051921",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "VA",
"license": "0101051921",
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "VA",
"license": "0101051921",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sterling, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.