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SASA STOJANOVIC D.D.S.
NPI 1184614224
Dentist - General Practice in Chicago, IL

Active since October 27, 2005PECOS Enrolled
4901 N KEDZIE AVE, CHICAGO, IL 60625(773) 509-9200(773) 509-9247 Get Directions Write a Review

NPPES record last updated: January 30, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Sasa Stojanovic D.d.s. NPPES

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

SASA STOJANOVIC D.D.S. (NPI 1184614224) is an individual general practice provider in Chicago, Illinois, licensed in Illinois (01902309) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184614224
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameSASA STOJANOVICCredential: D.D.S.
Location Address4901 N KEDZIE AVEChicago, IL 60625-5009
Mailing Address4901 N Kedzie AveChicago, IL 60625-5009 · (773) 509-9200 · Fax (773) 509-9247
Phone(773) 509-9200
Fax(773) 509-9247
Sole ProprietorNo
Enumeration DateOctober 27, 2005
Last NPPES UpdateJanuary 30, 2014
✔ NPI 1184614224 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in IL · 01902309
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
4901 N KEDZIE AVE, Chicago, IL 60625
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Other Identifiers 1

Medicaid9177779IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sasa Stojanovic D.d.s. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60625 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
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.

HISHAM JOSEPH GHARIB
Dentist
4901 N KEDZIE AVE
CHICAGO, IL 60625
Cook County (773) 509-9200
BRITTANY ANN MOORE
Behavior Analyst
4901 N KEDZIE AVE
CHICAGO, IL 60625
Cook County (630) 300-3400
NICKY PERRY
Behavior Technician
4901 N KEDZIE AVE
CHICAGO, IL 60625
Cook County (630) 300-3400
RENE ALBISHARA
Dentist
4901 N KEDZIE AVE
CHICAGO, IL 60625
Cook County (773) 509-9200
KATHY THANH TRAN
Behavior Technician
4901 N KEDZIE AVE
CHICAGO, IL 60625
Cook County (630) 300-3400
DEVORAH SPIEGEL
Behavior Technician
4901 N KEDZIE AVE
CHICAGO, IL 60625
Cook County (630) 300-3400
TEANLA HOUSE
Behavior Technician
4901 N KEDZIE AVE
CHICAGO, IL 60625
Cook County (630) 300-3400
EMILY RIZER
Behavior Technician
4901 N KEDZIE AVE
CHICAGO, IL 60625
Cook County (630) 300-3400

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 Sasa Stojanovic's NPI number?

The NPI number for Sasa Stojanovic is 1184614224. It was assigned to this individual provider in the NPPES registry on October 27, 2005.

Where is Sasa Stojanovic located?

Sasa Stojanovic practices at 4901 N Kedzie Ave, Chicago, IL 60625. The listed phone number is (773) 509-9200.

What is Sasa Stojanovic's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Sasa Stojanovic enrolled in Medicare?

Yes. Sasa Stojanovic is registered in the Medicare PECOS enrollment system.

What insurance does Sasa Stojanovic accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Anthem Blue Cross and Blue Shield and BEST Life and 9 other insurers list Sasa Stojanovic 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 Sasa Stojanovic was last updated on January 30, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.