Idriz Kovacevic, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

42158 Issued in FL

Practice address

9105 NW 1St Ave
Miami Shores, FL 33150-2248

Phone

(305) 496-8079

NPI assigned

Jan 22, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN, FL2 enrollments

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 2

Specialty

PsychiatryAlso: Neurology

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sleep Medicine Specialists of South Florida PAGroup PAC ID 6901048743, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: idriz.kovacevic.1@16434.direct.athenahealth.com

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.

• Sleep Medicine Specialists of South Florida PA

  • Sleep Medicine (Internal Medicine) Physician
  • Miami, FL
  • NPI 1063858140

  Psychiatry

  Medicare reassignment Care Compare group NPD
• Whitney Sleep Diagnostics & Consultants, LLC

  • Clinic/Center
  • Detroit Lakes, MN
  • NPI 1396985073
  Medicare reassignment

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

{
    "created_epoch": "1200960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676246400000",
    "number": "1861679706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9105 NW 1ST AVE",
            "city": "MIAMI SHORES",
            "state": "FL",
            "postal_code": "331502248",
            "telephone_number": "305-496-8079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9105 NW 1ST AVE",
            "city": "MIAMI SHORES",
            "state": "FL",
            "postal_code": "331502248",
            "telephone_number": "305-496-8079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOVACEVIC",
        "first_name": "IDRIZ",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-22",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "42158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martin E Keisch, MD
• Keri L Livingstone MD PA
• Julie Min Jeong Kim, A.P.
• Emily Hallene King, PA-C
• John A. King, M.D.
• Joel Isaiah Kuttler, OTR
• Myra Lakdawala
• Bonnie Lam, PA-C
• Tania Rachel Lamas Alvarez
• Erica Lark

• Psychiatry Physician in Miami Shores, FL
• Providers in Miami Shores, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2023; 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.

Verify at the official NPI Registry.