BOGDANOVSKI, PLLC
NPI 1235550419
Family Medicine in Ormond Beach, FL
About Bogdanovski, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BOGDANOVSKI, PLLC (NPI 1235550419) is a healthcare organization registered as a family medicine in Ormond Beach, Florida and active in the NPI registry since December 2013. The organization holds a CLIA Waiver certificate valid through February 2, 2028 and lists Suzana Bogdanovska, Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Bogdanovski, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Bogdanovski, PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 10D2072539
Bogdanovski Family Practice · Ormond Beach, FLFrequently 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 Bogdanovski, PLLC's NPI number?
The NPI number for Bogdanovski, PLLC is 1235550419. It was assigned to this organization in the NPPES registry on December 14, 2013.
Where is Bogdanovski, PLLC located?
Bogdanovski, PLLC is located at 909 Sterthaus Dr, Ormond Beach, FL 32174. The listed phone number is (386) 673-1717.
What is Bogdanovski, PLLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Bogdanovski, PLLC enrolled in Medicare?
Yes. Bogdanovski, PLLC is registered in the Medicare PECOS enrollment system.
When is Bogdanovski, PLLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Florida, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Bogdanovski, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Bogdanovski, PLLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Bogdanovski, PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2072539) is associated with this NPI, valid through February 2, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Bogdanovski, PLLC was last updated on December 14, 2013. 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.
# Bogdanovski, Pllc · NPI 1235550419
Family Medicine organization in Ormond Beach, Florida. Organization record, active in the CMS NPPES registry since December 14, 2013.
## Identity
- **NPI:** 1235550419 (Entity type: Organization)
- **Enumerated:** December 14, 2013
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Suzana Bogdanovska, MANAGER
## Practice location
- **Address:** 909 STERTHAUS DR, Ormond Beach, FL 32174-5133
- **Phone:** (386) 673-1717 · **Fax:** (386) 672-7819
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, Florida, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 14, 2013
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1235550419) · Data from the CMS NPPES public registry.