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: July 19, 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
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

Other Identifiers 1

Medicaid9177779IL

Accepted 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 13

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

Dentist (General Practice)
4901 N KEDZIE AVE
CHICAGO, IL 60625
Dental Hygienist
4901 N KEDZIE AVE
CHICAGO, IL 60625
Dentist (General Practice)
4901 N KEDZIE AVE
CHICAGO, IL 60625
Dentist (General Practice)
4901 N KEDZIE AVE
CHICAGO, IL 60625
Dentist (Orthodontics and Dentofacial Orthopedics)
4901 N KEDZIE AVE
CHICAGO, IL 60625
Dentist (General Practice)
4901 N KEDZIE AVE
CHICAGO, IL 60625
Dentist
4901 N KEDZIE AVE
CHICAGO, IL 60625
Dentist
4901 N KEDZIE AVE
CHICAGO, IL 60625

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1184614224, enumerated as an "individual" on October 27, 2005.

The provider is located at 4901 N KEDZIE AVE CHICAGO, IL 60625 and the phone number is (773) 509-9200.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.

The provider might be accepting Accepts: Ambetter from Home State Health, Ambetter Health,. Please consult your insurance carrier or call the provider to verify.