DR. OKTAVIJAN PAUL MINANOV (MD) – Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician, NPI 1306802095

DR. OKTAVIJAN PAUL MINANOV (MD) is a healthcare provider. based in Detroit, Michigan. specializing in CARDIOVASCULAR DISEASE (CARDIOLOGY), GENERAL SURGERY, THORACIC SURGERY, THORACIC SURGERY, CARDIAC SURGERY. They hold the professional credentials MD. They hold a License No. 178120 (FL). The NPI Number for DR. OKTAVIJAN PAUL MINANOV (MD) is 1306802095

Main info

Male
34 Years Of Experience
Accepts Medicare Assignment
Name
DR. OKTAVIJAN PAUL MINANOV (MD)
NPI
1306802095
Phone
(586) 493-9229
Address
PO BOX 67000
Enumeration Date
22 April 2006
Last Update Date
25 February 2026

Doctor Profile

Medical School Name
UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Secondary Phone
3526291378
Graduation Year
1992 (34 years ago)
PAC ID
8628106945
Group Practice PAC ID
4082787130
Professional Enrollment ID
I20251218003649
Address ID
FL344716505OC1511XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Digital endpointsOther names

2,521 CARDIOVASCULAR DISEASE (CARDIOLOGY) in FL

Provider Addresses for DR. OKTAVIJAN PAUL MINANOV (MD)

  • PO BOX 67000

    DEPT 55701

    DETROIT, MI 48267

    Phone: (586) 493-9229

    Fax: (586) 493-4396

    Type: Mailing

  • 1511 SW 1ST AVE

    OCALA, FL 344716505

    Phone: (352) 629-1378

    Fax: (352) 629-1406

    Type: Mailing

  • 1151 SW 1ST AVE

    OCALA, FL 344710918

    Phone: (352) 629-1378

    Fax: (352) 629-1406

    Type: Location

  • 1030 HARRINGTON ST STE 203

    MOUNT CLEMENS, MI 480432967

    Phone: (586) 493-9229

    Fax: (586) 493-4396

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 18 Open Payments records for all available years, with a total value of $1,770.

Total Amount is formed as General ($1,770) + Research ($0) + Ownership ($0) = $1,770.

Last reported payment date: 2024-11-12 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($1,111).

Total Amount

$1,770

General + Research + Ownership

Payments

18

Total payment records

General Amount

$1,770

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-12

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-12-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100610000464ICardiovascular Disease (Cardiology)MITBD
I20251218003649IThoracic SurgeryFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99291Critical care, first 30-74 minutes5619$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes4323$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes3128$0
31645Aspiration of initial secretion of lung airway using an endoscope1717$0
32663Exam of lung with removal of lung lobe using an endoscope1515$0
View full utilization report →

Insurance plans in this area (ZIP 48267)

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Provider's Procedures

DR. OKTAVIJAN PAUL MINANOV (MD) performs procedures in CARDIOVASCULAR DISEASE (CARDIOLOGY). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CARDIOVASCULAR DISEASE (CARDIOLOGY)MI33533Heart artery bypass to repair one artery3535

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4082787130View full group profile
NameSpecialtyState
Cardiac Surgery, Thoracic SurgeryIL
Nurse PractitionerSC
Nurse PractitionerFL
Physician AssistantFL
General SurgeryFL
Nurse PractitionerFL
Nurse PractitionerFL
Vascular SurgeryFL
Physician AssistantFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

Can I verify DR. OKTAVIJAN PAUL MINANOV (MD) with an NPI only?
You can start verification with NPI 1306802095 for DR. OKTAVIJAN PAUL MINANOV (MD), then check state licensing separately.
Does the file indicate DR. OKTAVIJAN PAUL MINANOV (MD) is practicing under active NPI?
Directory data currently reports DR. OKTAVIJAN PAUL MINANOV (MD) as active.
What is DR. OKTAVIJAN PAUL MINANOV (MD) best known for clinically?
Directory data describes DR. OKTAVIJAN PAUL MINANOV (MD) with Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician. Clinical services aligned with this taxonomy classification.
Does DR. OKTAVIJAN PAUL MINANOV (MD) list a practice location?
Patients near Detroit, Michigan may find DR. OKTAVIJAN PAUL MINANOV (MD) in results; validate coverage separately.
Is the information about DR. OKTAVIJAN PAUL MINANOV (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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