RADOMIR D STEVANOVIC MD NPI 1508883208

NPI Information

  • NPI: 1508883208
  • Provider Name: RADOMIR D STEVANOVIC, MD
  • Classification: Internal Medicine - 207R00000X
  • Entity Type: Individual
  • Address: 2343 N TRIPHAMMER RD
    ITHACA, NY
    ZIP 14850
  • Phone: (607) 266-9100

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NPI Details

Radomir D Stevanovic, MD is an internal medicine in Ithaca, NY. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. Radomir D Stevanovic, MD NPI is 1508883208. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2343 N TRIPHAMMER RD
ITHACA, NY
ZIP 14850-092
Phone: (607) 266-9100
Fax: (607) 266-9200

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS:99490)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Blood glucose (sugar) level (HCPCS:82947)
  • Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS:99439)
  • Hemoglobin a1c level (HCPCS:83036)
  • Administration and interpretation of patient-focused health risk assessment (HCPCS:96160)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Assessment of emotional or behavioral problems (HCPCS:96127)
  • Telephone medical discussion with physician, 5-10 minutes (HCPCS:99441)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Telephone medical discussion with physician, 11-20 minutes (HCPCS:99442)
  • Urinalysis, manual test (HCPCS:81002)

The enumeration date for this NPI number is 7/17/2006 and was last updated on 7/27/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal Medicine176403NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
101122458MEDICAIDNEW YORK
213F991MEDICARE PINNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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