DJORDJE BOSKOV (M.D.) – Diagnostic Radiology Physician, NPI 1578564696

DJORDJE BOSKOV (M.D.) is a healthcare provider. based in Eden prairie, Minnesota. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. MD476695 (PA). The NPI Number for DJORDJE BOSKOV (M.D.) is 1578564696

Main info

Male
27 Years Of Experience
Name
DJORDJE BOSKOV (M.D.)
NPI
1578564696
Phone
(952) 595-1301
Address
11995 SINGLETREE LN
Enumeration Date
10 August 2005
Last Update Date
9 February 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7173375991
Graduation Year
1999 (27 years ago)
PAC ID
9133158462
Group Practice PAC ID
0648258947
Professional Enrollment ID
I20220216002605
Address ID
PA173258599GE20XXXTRAI317
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

2,123 DIAGNOSTIC RADIOLOGY in IL

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Provider Addresses for DJORDJE BOSKOV (M.D.)

  • 11995, Singletree Lane, Eden Prairie, Hennepin County, Minnesota, 55344, United States

    STE 500

    EDEN PRAIRIE, MN 553445347

    Phone: (952) 595-1301

    Fax: (612) 294-4903

    Type: Mailing

  • 566, Hillcrest Avenue, Elmhurst, DuPage County, Illinois, 60126, United States

    ELMHURST, IL 601264146

    Phone: (952) 595-1100

    Fax: (612) 294-4903

    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: 2022-02-16

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
I20050808000470IDiagnostic RadiologyILTBD
I20220216002605IDiagnostic RadiologyPATBD

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
71046X-ray of chest, 2 views244225$0
72110X-ray of lower and sacral spine, minimum of 4 views5151$0
73630X-ray of foot, minimum of 3 views3634$0
73502X-ray of hip, 2-3 views3230$0
73030X-ray of shoulder, minimum of 2 views2928$0
View full utilization report →

Insurance plans in this area (ZIP 55344)

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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: 0648258947View full group profile
NameSpecialtyState
Diagnostic RadiologyOH
Physician AssistantMD
-MD
Diagnostic Radiology, Diagnostic Radiology, Nuclear MedicineIL
Nurse PractitionerPA
-IL
Radiation OncologyPA
H E M A T O L O G Y/ O N C O L O G YPA
H E M A T O L O G Y/ O N C O L O G YPA
Diagnostic RadiologyMD

Reviews

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Frequently asked questions

What unique ID ties claims to DJORDJE BOSKOV (M.D.)?
NPI 1578564696 is assigned to DJORDJE BOSKOV (M.D.) under the national enumeration system.
Is DJORDJE BOSKOV (M.D.) currently active in the NPI registry?
CMS-published data lists DJORDJE BOSKOV (M.D.) as an active registrant.
Does DJORDJE BOSKOV (M.D.) list a primary specialty?
If you are matching referrals, note Diagnostic Radiology Physician for DJORDJE BOSKOV (M.D.). Clinical services aligned with this taxonomy classification.
Where is DJORDJE BOSKOV (M.D.)'s primary listing?
We display Eden Prairie, Minnesota because that is what the record indicates for DJORDJE BOSKOV (M.D.).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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