GAVRO JELIC
NPI 1134737786
Internal Medicine in Bronx, NY

Active since July 20, 2020PECOS EnrolledAccepts Medicare Assignment
130 W KINGSBRIDGE RD, BRONX, NY 10468(718) 584-9000 Get Directions Write a Review

NPPES record last updated: October 20, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Gavro Jelic NPPES

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

GAVRO JELIC (NPI 1134737786) is an individual internal medicine provider in Bronx, New York, licensed in Connecticut (76530) and active in the NPI registry since July 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1134737786
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameGAVRO JELIC
Location Address130 W KINGSBRIDGE RDBronx, NY 10468-3904
Mailing Address130 W Kingsbridge RdBronx, NY 10468-3904 · (718) 584-9000
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateJuly 20, 2020
Last NPPES UpdateOctober 20, 2025
NPPES CertifiedOctober 20, 2025
✔ NPI 1134737786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CT · 76530
Definition
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.
130 W KINGSBRIDGE RD, Bronx, NY 10468

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Gavro Jelic is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9234671611
PECOS Enrollment IDI20240613000755
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.

Medicare Billing Reassignment

Medicare enrollment records show Gavro Jelic reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

General Acute Care Hospital
112 MANSFIELD AVE
Willimantic, CT 06226
  • Reassigned Medicare billing, Connecticut enrollment
  • 302 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
59 services56 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10468 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
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.

Pharmacist (Psychiatric)
130 W KINGSBRIDGE RD
BRONX, NY 10468
Social Worker
130 W KINGSBRIDGE RD
BRONX, NY 10468
Psychologist (Clinical)
130 W KINGSBRIDGE RD
BRONX, NY 10468
Hospitalist
130 W KINGSBRIDGE RD
BRONX, NY 10468
Pharmacist
130 W KINGSBRIDGE RD
BRONX, NY 10468
Social Worker (Clinical)
130 W KINGSBRIDGE RD, J. J. PETERS VA MEDICAL CENTER
BRONX, NY 10468
Psychiatry & Neurology (Neurology)
130 W KINGSBRIDGE RD, NEUROLOGY DEPT., BRONX VETERANS HOSPITAL
BRONX, NY 10468
Dietitian, Registered
130 W KINGSBRIDGE RD
BRONX, NY 10468

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 Gavro Jelic's NPI number?

The NPI number for Gavro Jelic is 1134737786. It was assigned to this individual provider in the NPPES registry on July 20, 2020.

Where is Gavro Jelic located?

Gavro Jelic practices at 130 W Kingsbridge Rd, Bronx, NY 10468. The listed phone number is (718) 584-9000.

What is Gavro Jelic's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Gavro Jelic enrolled in Medicare?

Yes. Gavro Jelic is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Gavro Jelic's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gavro Jelic reassigns Medicare benefits to Windham Community Memorial Hospital, Inc. (Willimantic, CT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Gavro Jelic's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gavro Jelic accept?

Health plans from Anthem Blue Cross and Blue Shield list Gavro Jelic as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Gavro Jelic was last updated on October 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.