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DR. SANDRA ANA ANTONOVIC M.D.
NPI 1184773319
Pediatrics in Tigard, OR

Active since January 09, 2007PECOS Enrolled
12442 SW SCHOLLS FERRY RD, SUITE 205, TIGARD, OR 97223(503) 216-9140(503) 216-9145 Get Directions Write a Review

NPPES record last updated: October 13, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Sandra Ana Antonovic M.d. NPPES

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

DR. SANDRA ANA ANTONOVIC M.D. (NPI 1184773319) is an individual pediatrics provider in Tigard, Oregon, licensed in Oregon (MD23792) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184773319
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. SANDRA ANA ANTONOVICCredential: M.D.
Location Address12442 SW SCHOLLS FERRY RD, SUITE 205Tigard, OR 97223-0804
Mailing AddressPo Box 3158Portland, OR 97208-3158
Phone(503) 216-9140
Fax(503) 216-9145
Sole ProprietorNo
Enumeration DateJanuary 9, 2007
Last NPPES UpdateOctober 13, 2020
NPPES CertifiedOctober 13, 2020
✔ NPI 1184773319 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in OR · MD23792
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

12442 SW SCHOLLS FERRY RD, Tigard, OR 97223
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Other Identifiers 1

Medicaid272420OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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)

Dr. Sandra Ana Antonovic 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97223 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
$90.51 typical visit price
range $58.99 – $176.88
Typical copayment $22.62 (range $14.74 – $44.22)
Most-billed visit code 99203
Established Patient
$103.51 typical visit price
range $19.32 – $144.79
Typical copayment $25.87 (range $4.83 – $36.19)
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.

EVAGELIA BAROS DO
Internal Medicine
12442 SW SCHOLLS FERRY RD, SUITE 106
TIGARD, OR 97223
Washington County (503) 216-9200
POOMBAVAI O NAGAPPAN MD
Internal Medicine
12442 SW SCHOLLS FERRY RD, SUITE 106
TIGARD, OR 97223
Washington County (503) 216-9200
DR. BENJAMIN HIN-MENG IP MD
Family Medicine
12442 SW SCHOLLS FERRY RD, SUITE 100
PORTLAND, OR 97223
Washington County (503) 215-9900
PROVIDENCE HEALTH & SERVICES - OREGON
Pediatrics
12442 SW SCHOLLS FERRY RD, SUITE 205
TIGARD, OR 97223
Washington County (503) 216-9140
PROVIDENCE HEALTH & SERVICES - OREGON
Internal Medicine
12442 SW SCHOLLS FERRY RD, SUITE 100
TIGARD, OR 97223
Washington County (503) 216-9200
DOUGLAS R NIEHUS MD
Family Medicine
12442 SW SCHOLLS FERRY RD, SUITE 100
TIGARD, OR 97223
Washington County (503) 216-9200
MRS. KATHRYN ANDERSON CARR P.T.
Physical Therapist
12442 SW SCHOLLS FERRY RD, SUITE 202
TIGARD, OR 97223
Washington County (503) 216-9280
DR. JEFFREY P WEEKS M.D.
Family Medicine
12442 SW SCHOLLS FERRY RD, SUITE 100
TIGARD, OR 97223
Washington County (503) 215-9900

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 Sandra Antonovic's NPI number?

The NPI number for Sandra Antonovic is 1184773319. It was assigned to this individual provider in the NPPES registry on January 9, 2007.

Where is Sandra Antonovic located?

Sandra Antonovic practices at 12442 SW Scholls Ferry Rd Suite 205, Tigard, OR 97223. The listed phone number is (503) 216-9140.

What is Sandra Antonovic's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Sandra Antonovic enrolled in Medicare?

Yes. Sandra Antonovic is registered in the Medicare PECOS enrollment system.

What insurance does Sandra Antonovic accept?

Health plans from Providence Health Plan list Sandra Antonovic 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 Sandra Antonovic was last updated on October 13, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.