MR. SLOBODAN DJORDJEVIC (PA-C) – Physician Assistant, NPI 1790768802
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
6,066 PHYSICIAN ASSISTANT in MI
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Provider Addresses for MR. SLOBODAN DJORDJEVIC (PA-C)
PO BOX 152057
GRAND RAPIDS, MI 495152057
Phone: (616) 885-5000
Fax: (616) 913-9025
Type: Mailing
Spectrum Health Heart and Vascular Center, 2900, Bradford Street Northeast, Grand Rapids, Kent County, Michigan, 49525, United States
GRAND RAPIDS, MI 495256427
Phone: (616) 885-5000
Fax: (616) 913-9025
Type: Location
4550 Investment Dr Ste 250
Troy, MI 480986362
Phone: (248) 267-5050
Type: Location
39500 W 10 Mile Rd Ste 103
Novi, MI 483752947
Phone: (248) 267-5050
Type: Location
15959 Hall Rd Ste 304
Macomb, MI 480445367
Phone: (248) 267-5050
Type: Location
26901 BEAUMONT BLVD STE 3D
SOUTHFIELD, MI 480333849
Phone: (947) 522-4352
Type: Mailing
4600 INVESTMENT DR STE 200
TROY, MI 480986375
Phone: (248) 267-5050
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: 2013-10-22
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20131022000629 | I | Physician Assistant | MI | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 80 | 80 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 44 | 44 | $0 |
| 99291 | Critical care, first 30-74 minutes | 43 | 43 | $0 |
Insurance plans in this area (ZIP 49515)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MI | |
| Hematology/Oncology, Internal Medicine | MI | |
| P S Y C H I A T R Y | MI | |
| - | MI | |
| Internal Medicine, Cardiovascular Disease (Cardiology) | MI | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | MI | |
| - | MI | |
| - | MI | |
| - | MI | |
| - | MI |
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