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DR. GOSPODIN STEFANOV STEFANOV M.D.
NPI 1124254479
Pediatrics - Neonatal-Perinatal Medicine in Forest Hills, NY

Active since June 01, 2009PECOS Enrolled
7558 113TH ST APT 5B, FOREST HILLS, NY 11375(773) 987-1583 Get Directions Write a Review

NPPES record last updated: May 2, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Gospodin Stefanov Stefanov M.d. NPPES

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

DR. GOSPODIN STEFANOV STEFANOV M.D. (NPI 1124254479) is an individual neonatal-perinatal medicine provider in Forest Hills, New York, licensed in Illinois (036123542) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS and maintains a secondary practice location in Park Ridge.

NPPES Registry Identity

NPI1124254479
Entity TypeIndividualMale
Primary Taxonomy2080N0001X
Provider Legal NameDR. GOSPODIN STEFANOV STEFANOVCredential: M.D.
Location Address7558 113TH ST APT 5BForest Hills, NY 11375-7429
Mailing Address29373 Network PlChicago, IL 60673-1293 · (847) 390-5900
Phone(773) 987-1583
Sole ProprietorNo
Enumeration DateJune 1, 2009
Last NPPES UpdateMay 2, 2022
NPPES CertifiedMay 2, 2022
✔ NPI 1124254479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in IL · 036123542
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
7558 113TH ST APT 5B, Forest Hills, NY 11375
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Secondary Practice Location 1

Location 11775 Dempster StPark Ridge, IL 60068-1143 · Phone (847) 723-5313

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Gospodin Stefanov Stefanov M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Gospodin Stefanov's NPI number?

The NPI number for Gospodin Stefanov is 1124254479. It was assigned to this individual provider in the NPPES registry on June 1, 2009.

Where is Gospodin Stefanov located?

Gospodin Stefanov practices at 7558 113th St Apt 5B, Forest Hills, NY 11375. The listed phone number is (773) 987-1583.

What is Gospodin Stefanov's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Gospodin Stefanov enrolled in Medicare?

Yes. Gospodin Stefanov is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Gospodin Stefanov was last updated on May 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.