Individual provider Active NPI

Olivera Stojadinovic, M.D.

  • Dermatology Physician
  • Miami, FL
National Provider Identifier
1861841850
Registry record updated Aug 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
ME145650 Issued in FL
Practice address
1295 NW 14TH St
Miami, FL 33125-1610
Phone
(305) 243-6704
Fax
(305) 243-5303
NPI assigned
Jun 9, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X ME145650 FL Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

1295 NW 14TH St
Miami, FL 33125-1610

Mailing address

1600 NW 10TH Ave
Miami, FL 33136-1015
Phone (305) 243-6735

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
I20200921001094 FL Practitioner - Dermatology 2062830227 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Miami, LM Miller School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vitalmd Group Holding LLCGroup PAC ID 8921091786, 535 clinicians

Practice addresses (Care Compare)

4060 Sheridan St
Suite C
Hollywood, FL 33021-3559
Phone (954) 987-7512

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision12
Removal of tissue1-10
Removal of skin lesions434
Removal or shaving of skin growth22
Skin biopsy177

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Miami CurrentSince Jul 17, 2020 Accepting new patients
University of Miami Dermatology CurrentSince Jul 17, 2020 Accepting new patients
University of Miami Current Accepting new patients
Vitalmd Group Holding LLC Dermatology CurrentSince Aug 14, 2020 Accepting new patients
University of Miami PastSince Aug 23, 2020 Accepting new patients
Norman Minars, MD, PA PastSince Aug 14, 2020 Accepting new patients

Locations

4060 Sheridan St
Ste C
Hollywood, FL 33021
Phone (954) 987-6200

1600 NW 10th Ave
Miami, FL 33136
Phone (305) 243-3234

1611 NW 12th Ave
#2169
Miami, FL 33136
Phone (305) 585-1280

1295 NW 14th St
Miami, FL 33125
Phone (305) 689-1800

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

3225 Aviation Ave
Ste 700
Miami, FL 33133
Phone (305) 273-4641

1295 NW 14th St
Bldg Stes
Miami, FL 33125

Organizations & group practices 6

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": "1465430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597190400000",
    "number": "1861841850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 NW 10TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361015",
            "telephone_number": "305-243-6735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1295 NW 14TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331251610",
            "telephone_number": "305-243-6704",
            "fax_number": "305-243-5303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOJADINOVIC",
        "first_name": "OLIVERA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-09",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME145650",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.