TATJANA VELIKOPOLJSKI PA-C
NPI 1083242457
Physician Assistant in Coral Gables, FL

Active since March 31, 2020Opted out of Medicare · through Apr 7, 2028
5955 PONCE DE LEON BLVD, CORAL GABLES, FL 33146(305) 661-1515(305) 662-3723 Get Directions Write a Review

NPPES record last updated: August 29, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 10, 2020, Mar 31, 2020 (2 updates tracked since 2020).

About Tatjana Velikopoljski Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TATJANA VELIKOPOLJSKI PA-C (NPI 1083242457) is an individual physician assistant in Coral Gables, Florida, licensed in Florida (PA9113027) and active in the NPI registry since March 2020. She has opted out of Medicare through April 7, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1083242457
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameTATJANA VELIKOPOLJSKICredential: PA-C
Location Address5955 PONCE DE LEON BLVDCoral Gables, FL 33146-2423
Mailing Address8340 Sw 62nd AveSouth Miami, FL 33143-8056 · (786) 219-6605
Fax(305) 662-3723
Sole ProprietorNo
Enumeration DateMarch 31, 2020
Last NPPES UpdateAugust 29, 20242 updates tracked since enumeration
NPPES CertifiedAugust 29, 2024
NPI 1083242457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in FL · PA9113027
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

5955 PONCE DE LEON BLVD, Coral Gables, FL 33146

Other Identifiers 1

OtherPA9113027FL · Medical License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Tatjana Velikopoljski Pa-c has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 7, 2020 through April 7, 2028.

Opt-Out Effective DateApril 7, 2020
Opt-Out In Effect ThroughApril 7, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33146 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.13 typical visit price
range $60.92 – $187.05
Typical copayment $24.03 (range $15.23 – $46.76)
Most-billed visit code 99203
Established Patient
$75.86 typical visit price
range $18.99 – $150.24
Typical copayment $18.96 (range $4.74 – $37.56)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics (Neonatal-Perinatal Medicine)
5955 PONCE DE LEON BLVD
CORAL GABLES, FL 33146
Pediatrics (Pediatric Infectious Diseases)
5955 PONCE DE LEON BLVD
CORAL GABLES, FL 33146
Pediatrics (Neonatal-Perinatal Medicine)
5955 PONCE DE LEON BLVD
CORAL GABLES, FL 33146
Nurse Practitioner (Neonatal)
5955 PONCE DE LEON BLVD
CORAL GABLES, FL 33146
Pediatrics (Neonatal-Perinatal Medicine)
5955 PONCE DE LEON BLVD
CORAL GABLES, FL 33146
Pediatrics (Neonatal-Perinatal Medicine)
5955 PONCE DE LEON BLVD
CORAL GABLES, FL 33146
Pediatrics (Neonatal-Perinatal Medicine)
5955 PONCE DE LEON BLVD
CORAL GABLES, FL 33146
Nurse Practitioner (Neonatal)
5955 PONCE DE LEON BLVD
CORAL GABLES, FL 33146

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tatjana Velikopoljski's NPI number?

The NPI number for Tatjana Velikopoljski is 1083242457. It was assigned to this individual provider in the NPPES registry on March 31, 2020.

Where is Tatjana Velikopoljski located?

Tatjana Velikopoljski practices at 5955 Ponce De Leon Blvd, Coral Gables, FL 33146. The listed phone number is (305) 661-1515.

What is Tatjana Velikopoljski's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Tatjana Velikopoljski enrolled in Medicare?

No. Tatjana Velikopoljski has opted out of Medicare through April 7, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Tatjana Velikopoljski was last updated on August 29, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.