Active NPI
Slobodan Jazarevic, M.D.
- Trauma Surgery Physician
- Ocala, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Trauma Surgery Physician
- License
- DR0052407
- Practice address
- 1720 SE 16TH Ave Ste 303
Ocala, FL 34471-4620 - Phone
- (352) 369-0288
- NPI assigned
- Jun 1, 2006
- Last updated
- Mar 8, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | ME65570 | FL | |
| Surgery Physician | 208600000X | 192322-1 | NY | |
| Surgery Physician | 208600000X | DR0052407 | CO | |
| Surgery Physician | 208600000X | 192322 | NY | |
| Surgical Critical Care Physician | 2086S0102X | ME65570 | FL | |
| Surgical Critical Care Physician | 2086S0102X | DR00552407 | CO | |
| Surgical Critical Care Physician | 2086S0102X | 192322-1 | NY | |
| Pediatric Surgery Physician | 2086S0120X | 192322 | NY | |
| Trauma Surgery Physician | 2086S0127X | 192322-1 | NY | |
| Trauma Surgery Physician | 2086S0127X | DR0052407 | CO | Primary |
| Trauma Surgery Physician | 2086S0127X | ME65570 | FL | |
| Trauma Surgery Physician | 2086S0127X | 192322 | NY | |
| Vascular Surgery Physician | 2086S0129X | ME65570 | FL | |
| Vascular Surgery Physician | 2086S0129X | 192322-1 | NY | |
| Vascular Surgery Physician | 2086S0129X | DR0052407 | CO |
Addresses
Primary practice location
1720 SE 16TH Ave Ste 303
Ocala, FL 34471-4620
Mailing address
1720 SE 16TH Ave Ste 303
Ocala, FL 34471-4620
Phone (352) 369-0288
Other practice location 1
311 N Clyde Morris Blvd Ste 300
Daytona Beach, FL 32114
Phone (386) 252-0688 ext. 77234
Other practice location 2
1400 E Boulder St Ste 500
Colorado Springs, CO 80909-5533
Phone (772) 233-6166
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03487616 | Other | NY | GROUP MEDICAID |
| 014768800 | Medicaid | FL | |
| 277835100 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, NY, CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
13901 Bruce B Downs Blvd
Tampa, FL 33613-3905
Phone (813) 615-7260
2500 Harbor Blvd
Port Charlotte, FL 33952-5000
Phone (941) 766-4903
2700 Healing Way
Wesley Chapel, FL 33543-5453
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Mastectomy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Leg revascularization (restoring blood flow) | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 192322 | NY | MD | Surgery Physician |
| 192322-1 | NY | MD | Surgery Physician |
| DR00552407 | CO | MD | Surgical Critical Care Physician |
| DR0052407 | CO | MD | Trauma Surgery Physician |
| ME65570 | FL | MD | Trauma Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore-Lij Medical PC | Current | Accepting new patients | |
| Florida Hospital Physician Group Inc | Surgery | Current | Accepting new patients |
| Poudre Valley Medical Group, LLC | Surgery | Current | Accepting new patients |
| Poudre Valley Medical Group, LLC | Current | Accepting new patients | |
| North Shore - Lij Medical PC | Current | Accepting new patients | |
| Global Trauma Systems Inc | Surgery | Past | Accepting new patients |
Locations
1400 E Boulder St
Ste 500
Colorado Springs, CO 80909
Phone (719) 364-6487
1400 E Boulder St
Ste 500EAR
Colorado Springs, CO 80909
Phone (719) 364-4120
4110 Briargate Pkwy
Ste 460
Colorado Springs, CO 80920
Phone (719) 364-6487
2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2412
1720 SE 16th Ave
Ste 303
Ocala, FL 34471
Phone (352) 368-1661
13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260
2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209
301 Montauk Hwy
Bay Shore, NY 11706
Phone (631) 630-3977
300 Community Dr
Manhasset, NY 11030
1111 Marcus Ave
Ste M04
New Hyde Park, NY 11042
Phone (585) 736-3650
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- sjazarevic20092@jupitermedicalcenter.direct-ci.com
- sjazarevic2102592@adventhealth.direct-ci.com
- sjazarevic65714@northwell.direct-ci.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba AdventHealth Medical Group
- Family Medicine Physician
- Tampa, FL
- NPI 1174955256
Surgery
-
dba NHPP Cardiology at Great Neck
- Urology Physician
- Great Neck, NY
- NPI 1053688572
-
dba UCHealth Medical Group
- General Practice Physician
- Loveland, CO
- NPI 1225356868
Surgery
-
- Trauma Surgery Physician
- Port Saint Lucie, FL
- NPI 1245692367
-
dba NSLIJ Medical In Queens
- Internal Medicine Physician
- New Hyde Park, NY
- NPI 1790043479
-
dba UCHealth Medical Group
- General Practice Physician
- Loveland, CO
- NPI 1366763260
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Centerwell Home Health
- Home Health Agency
- Ocala, FL
- NPI 1841229515
-
dba Adventhealth Port Charlotte
- General Acute Care Hospital
- Port Charlotte, FL
- NPI 1760299093
-
dba Advent Health Ocala
- General Acute Care Hospital
- Ocala, FL
- NPI 1740772268
-
dba Munroe Regional HomeCare
- Home Health Agency
- Ocala, FL
- NPI 1316072887
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709856000000",
"number": "1982641494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1720 SE 16TH AVE STE 303",
"city": "OCALA",
"state": "FL",
"postal_code": "344714620",
"telephone_number": "352-369-0288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1720 SE 16TH AVE STE 303",
"city": "OCALA",
"state": "FL",
"postal_code": "344714620",
"telephone_number": "352-369-0288"
}
],
"practiceLocations": [
{
"address_1": "311 N Clyde Morris Blvd Ste 300",
"address_purpose": "LOCATION",
"city": "Daytona Beach",
"state": "FL",
"postal_code": "32114",
"country_code": "US",
"telephone_number": "386-252-0688 x77234",
"fax_number": "386-675-6401",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1400 E Boulder St Ste 500",
"address_purpose": "LOCATION",
"city": "Colorado Springs",
"state": "CO",
"postal_code": "809095533",
"country_code": "US",
"telephone_number": "772-233-6166",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JAZAREVIC",
"first_name": "SLOBODAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-01",
"last_updated": "2024-03-08",
"certification_date": "2024-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "FL",
"license": "ME65570",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NY",
"license": "192322-1",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CO",
"license": "DR0052407",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NY",
"license": "192322",
"primary": false
},
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "FL",
"license": "ME65570",
"primary": false
},
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "CO",
"license": "DR00552407",
"primary": false
},
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "NY",
"license": "192322-1",
"primary": false
},
{
"code": "2086S0120X",
"taxonomy_group": "",
"desc": "Surgery, Pediatric Surgery",
"state": "NY",
"license": "192322",
"primary": false
},
{
"code": "2086S0127X",
"taxonomy_group": "",
"desc": "Surgery, Trauma Surgery",
"state": "NY",
"license": "192322-1",
"primary": false
},
{
"code": "2086S0127X",
"taxonomy_group": "",
"desc": "Surgery, Trauma Surgery",
"state": "CO",
"license": "DR0052407",
"primary": true
},
{
"code": "2086S0127X",
"taxonomy_group": "",
"desc": "Surgery, Trauma Surgery",
"state": "FL",
"license": "ME65570",
"primary": false
},
{
"code": "2086S0127X",
"taxonomy_group": "",
"desc": "Surgery, Trauma Surgery",
"state": "NY",
"license": "192322",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "FL",
"license": "ME65570",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "NY",
"license": "192322-1",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "CO",
"license": "DR0052407",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP MEDICAID",
"identifier": "03487616",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "014768800",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "277835100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ocala, FL
- Joseph Jacob Javier, PT
- Rawan Jawad
- Jay J Rubin MD PA (Neurological Associates)
- Jayanti Professional Corporation (Institute of Internal Medicine)
- Jayaprakash Shetty MD PA
- Sendy Jean Baptiste, PMHNP
- Spencer Keith Jefferies, DO
- Jeffrey Dee & Suzanne S Fleigel MD PA
- Jeffrey G. Pitts, D.C., P.a.
- Saarangan Jegathesan, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; 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.