DR. STEFAN KOVACEVIC MD
NPI 1184200610
Student in an Organized Health Care Education/Training Program in Livonia, MI
NPI Status: Active since March 23, 2021
Contact Information
36475 FIVE MILE RD
LIVONIA, MI
ZIP 48154
Phone: (847) 749-5395
- Individual
- Male
- Student in an Organized Health Care Educ...
- PECOS Enrolled
About STEFAN KOVACEVIC
This page provides the complete NPI Profile along with additional information for Stefan Kovacevic, a primary care provider established in Livonia, Michigan with a medical specialization in Student In An Organized Health Care Education/training Program. The healthcare provider is registered in the NPI registry with number 1184200610 assigned on March 2021. The practitioner's primary taxonomy code is 390200000X with license number 4351049523 (MI). The provider is registered as an individual and his NPI record was last updated 2 years ago.
- NPI
- 1184200610
- Provider Name
- DR. STEFAN KOVACEVIC MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 36475 FIVE MILE RD LIVONIA, MI 48154
- Location Phone
- (847) 749-5395
- Mailing Address
- 8327 N NEWLAND AVE NILES, IL 60714
- Mailing Phone
- (847) 749-5395
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-23-2021
- Last Update Date
- 02-05-2024
- Code Navigator
A primary care provider (PCP) like Stefan Kovacevic sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Secondary Locations
- 355 Ridge Ave
Evanston, IL 60202
(847) 316-4000
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Student in an Organized Health Care Education/Training Program
- Taxonomy Code
- 390200000X
- Type
- Student, Health Care
- License No.
- 4351049523
- License State
- MI
- Taxonomy Description
- An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 390200000X | Student, Health Care | Student in an Organized Health Care Education/Training Program |
Medicare Participation & PECOS Enrollment Status
Stefan Kovacevic is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 8 | 4 | 2 | 0 | 0 | 6 | 1 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 16 | 4 | 4 | 0 | 0 | 6 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 1 + 6 + 4 + 4 + 0 + 0 + 6 + 2 + 24 = 50 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1184200610 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1467417329 | CHUNG KIM MD Individual | Radiology (Diagnostic Radiology) | 36475 FIVE MILE RD LIVONIA, MI 48154 (734) 655-4800 |
| 1982642815 | SUSAN MOLINA M.D. Individual | Anesthesiology | 36475 FIVE MILE RD LIVONIA, MI 48154 (734) 655-2022 |
| 1720026453 | GREGORY DWIGHT D.O. Individual | Anesthesiology | 36475 FIVE MILE RD LIVONIA, MI 48154 (734) 655-2022 |
| 1881636843 | GLENN GALL D.O. Individual | Anesthesiology | 36475 FIVE MILE RD LIVONIA, MI 48154 (734) 655-2022 |
| 1518993617 | DR. MICHAEL JOSEPH CALICE M.D. Individual | Emergency Medicine | 36475 FIVE MILE RD LIVONIA, MI 48154 (734) 655-4800 |
| 1518070317 | TSEN S WOOD MD Individual | Pathology (Anatomic Pathology) | 36475 FIVE MILE RD ST MARY MERCY HOSPITAL LIVONIA, MI 48154 (734) 655-4800 |
| 1164646840 | NGHI KHON TRAN MD Individual | Radiology (Diagnostic Radiology) | 36475 FIVE MILE RD LIVONIA, MI 48154 (734) 591-1171 |
| 1912170127 | CELENA COWEN Individual | Nurse Practitioner (Acute Care) | 36475 FIVE MILE RD PRE-ANESTHESIA TESTING LIVONIA, MI 48154 (734) 655-2119 |
| 1669793162 | KHURSHEED HUSSAIN Individual | Student in an Organized Health Care Education/Training Program | 36475 FIVE MILE RD ST MARY MERCY HOSPITAL LIVONIA, MI 48154 (734) 655-2727 |
| 1114221058 | MISTY TYBURSKI CRNA Individual | Nurse Anesthetist, Certified Registered | 36475 FIVE MILE RD LIVONIA, MI 48154 (734) 655-4800 |
| 1053600577 | OLGA YAEKOUB M.D. Individual | Student in an Organized Health Care Education/Training Program | 36475 FIVE MILE RD ST. MARY MERCY HOSPITAL LIVONIA, MI 48154 (734) 655-2727 |
| 1851682124 | DR. CHIRAG VIJAPURA D.O. Individual | Emergency Medicine | 36475 FIVE MILE RD LIVONIA, MI 48154 (734) 655-2789 |
| 1811263924 | DR. PATRICK STEVEN WYCIHOWSKI M.D. Individual | Student in an Organized Health Care Education/Training Program | 36475 FIVE MILE RD LIVONIA, MI 48154 (734) 655-2727 |
| 1033485149 | DR. ANIRBAN NAYAK M.D. Individual | Student in an Organized Health Care Education/Training Program | 36475 FIVE MILE RD LIVONIA, MI 48154 (734) 655-2727 |
| 1265497374 | YAHYA ALBEER MD Individual | Radiology (Diagnostic Radiology) | 36475 FIVE MILE RD LIVONIA, MI 48154 (734) 655-4800 |
| 1184976086 | VARMA PENUMETCHA Individual | Student in an Organized Health Care Education/Training Program | 36475 FIVE MILE RD LIVONIA, MI 48154 (734) 655-2727 |
| 1831530534 | PARTHIV NAINESH MEHTA M.D Individual | Student in an Organized Health Care Education/Training Program | 36475 FIVE MILE RD LIVONIA, MI 48154 (734) 655-2739 |
| 1841693736 | RYAN KRAVETZ PA-C Individual | Physician Assistant | 36475 FIVE MILE RD LIVONIA, MI 48154 (734) 655-4800 |
| 1851340673 | MRS. CHERYL MOELLER FURLONG RNC-NIC, MSN, NNP-BC Individual | Nurse Practitioner (Neonatal) | 36475 FIVE MILE RD LIVONIA, MI 48154 (734) 655-1183 |
| 1386934404 | DR. MICHAEL STEPHAN BRANDON JR. D.O. Individual | Emergency Medicine | 36475 FIVE MILE RD LIVONIA, MI 48154 (734) 655-2789 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1184200610, enumerated in the NPI registry as an "individual" on March 23, 2021
The provider is located at 36475 Five Mile Rd Livonia, Mi 48154 and the phone number is (847) 749-5395
The provider's speciality is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
This NPI record was last updated on March 23, 2021. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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