VIKTORIJA PETROVIC GAVRILOVIC (MD) – Emergency Medicine Physician, NPI 1366936031

VIKTORIJA PETROVIC GAVRILOVIC (MD) is a healthcare provider. based in Pontiac, Michigan. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 4301115161 (MI). The NPI Number for VIKTORIJA PETROVIC GAVRILOVIC (MD) is 1366936031

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
VIKTORIJA PETROVIC GAVRILOVIC (MD)
NPI
1366936031
Phone
(248) 338-5392
Address
50 N PERRY ST
Enumeration Date
18 June 2018
Last Update Date
9 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2488493331
Graduation Year
2018 (8 years ago)
PAC ID
5890042022
Group Practice PAC ID
6709798325
Professional Enrollment ID
I20210105002665
Address ID
MI480754818SO16001RDXX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:7State licenses:1Digital endpointsOther names

3,158 EMERGENCY MEDICINE in MI

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Provider Addresses for VIKTORIJA PETROVIC GAVRILOVIC (MD)

  • McLaren Oakland, 50, North Perry Street, Pontiac, Oakland County, Michigan, 48342, United States

    PONTIAC, MI 483422217

    Phone: (248) 338-5392

    Type: Mailing

  • 2873 ROSSMOOR CIR

    BLOOMFIELD TOWNSHIP, MI 483021053

    Phone: (248) 860-6227

    Type: Mailing

  • 1375 N MAIN ST

    LAPEER, MI 484461350

    Phone: (810) 667-5500

    Type: Location

  • 50 N Perry St

    Pontiac, MI 483422217

    Phone: (248) 338-5392

    Type: Location

  • 5701 Bow Pointe Dr

    Clarkston, MI 483463198

    Phone: (248) 922-6880

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2021-01-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20210105002665IEmergency MedicineMITBD

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
99285Emergency department visit with high level of medical decision making121119$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only8680$0
99284Emergency department visit with moderate level of medical decision making4743$0
99291Critical care, first 30-74 minutes2222$0
View full utilization report →

Insurance plans in this area (ZIP 48342)

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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: 6709798325View full group profile
NameSpecialtyState
Emergency MedicineMI
Emergency MedicineMI
-MI
Nurse PractitionerMI
Emergency MedicineMI
Emergency MedicineMI
Emergency MedicineMI
Emergency MedicineOH
Emergency MedicineMI
Physician AssistantMI

Reviews

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Frequently asked questions

What is VIKTORIJA PETROVIC GAVRILOVIC (MD)'s NPI number?
VIKTORIJA PETROVIC GAVRILOVIC (MD)'s NPI is 1366936031 — the number used across U.S. healthcare to identify this provider.
Is VIKTORIJA PETROVIC GAVRILOVIC (MD) still an active registrant?
VIKTORIJA PETROVIC GAVRILOVIC (MD) carries an active NPI according to the public dataset.
What kind of doctor is VIKTORIJA PETROVIC GAVRILOVIC (MD)?
VIKTORIJA PETROVIC GAVRILOVIC (MD) is associated with Emergency Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
Is VIKTORIJA PETROVIC GAVRILOVIC (MD) located near Pontiac?
VIKTORIJA PETROVIC GAVRILOVIC (MD) currently maps to Pontiac, Michigan in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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