Individual provider Active NPI

Nino Mario Dobrovic, M.D.

  • Interventional Pain Medicine Physician
  • Sterling, VA
National Provider Identifier
1841255866
Registry record updated Dec 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
0101051921 Issued in VA
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

Updated by the provider on Dec 15, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
0101051921VAMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Pain Specialists, Inc. Interventional Pain Medicine PastSince Jun 1, 2007 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.

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.

Verify at the official NPI Registry.