Danijela S Zotovic, MD - INT MED & OPTHA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

20884 Issued in SC

Practice address

410 University Pkwy
Aiken Internal Med PA Ste 2500
Aiken, SC 29801-6810

Phone

(803) 648-7888

Fax

(803) 648-3302

NPI assigned

Nov 1, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Internal Medicine

Education

Other, 1988

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Bodhi Medical Care, LLCGroup PAC ID 2860494648, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bodhi Medical Care, LLC

  • Internal Medicine Physician
  • New York, NY
  • NPI 1649364639
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286496000000",
    "number": "1871670844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 215",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298020215",
            "telephone_number": "803-648-7888",
            "fax_number": "803-648-3302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 UNIVERSITY PKWY",
            "address_2": "AIKEN INTERNAL MED PA STE 2500",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298016810",
            "telephone_number": "803-648-7888",
            "fax_number": "803-648-3302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOTOVIC",
        "first_name": "DANIJELA",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD - INT MED & OPTHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2010-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "20884",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "SC",
            "license": "20884",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110188630",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208849",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jun Zhan
• Xue Ling Zheng, MD
• Julie Starks Ziegler, D.M.D.
• Sorina Zielinski
• David Wayne Zimmerman, M.D.
• Miroslav Bosco Zotovic, M.D.
• Maimoona Zubair
• Peter A. Zvejnieks, MD

• Internal Medicine Physician in Aiken, SC
• Providers in Aiken, SC by specialty
• Internal Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2010; 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.