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ZAMIR GANI PODGORICA M.D.
NPI 1366416463
Hospitalist in Grand Rapids, MI

Active since February 15, 2006PECOS EnrolledAccepts Medicare Assignment
1840 WEALTHY ST SE, MC 426, GRAND RAPIDS, MI 49506(616) 774-5221(616) 774-5391 Get Directions Write a Review

NPPES record last updated: August 8, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Zamir Gani Podgorica M.d. NPPES

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

ZAMIR GANI PODGORICA M.D. (NPI 1366416463) is an individual hospitalist provider in Grand Rapids, Michigan, licensed in Michigan (4301068204) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Mercy Health Saint Mary's, and is a graduate of Other (1988).

NPPES Registry Identity

NPI1366416463
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameZAMIR GANI PODGORICACredential: M.D.
Location Address1840 WEALTHY ST SE, MC 426Grand Rapids, MI 49506-2921
Mailing AddressPo Box 1682Grand Rapids, MI 49501-1682 · (616) 774-5221 · Fax (616) 774-5391
Phone(616) 774-5221
Fax(616) 774-5391
Sole ProprietorNo
Medical School CMSOtherGraduated 1988
Enumeration DateFebruary 15, 2006
Last NPPES UpdateAugust 8, 2023
NPPES CertifiedAugust 8, 2023
✔ NPI 1366416463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in MI · 4301068204
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 4301068204 (MI)
1840 WEALTHY ST SE, Grand Rapids, MI 49506
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Other Identifiers 5

Medicaid4617027MI
OtherP00051953Railroad Medicare
Medicaid4532556MI
Medicaid4532565MI
Other110D111790MI · Bcbsm

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company, Priority Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Zamir Gani Podgorica M.d. 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 ID7416966569
PECOS Enrollment IDI20060418000371
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.

Areas of Expertise CMS Part B claims 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
149 services59 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
29 services29 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
26 services26 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
25 services16 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mercy Health Saint Mary's

Acute Care Hospitals · Grand Rapids, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230059
Location200 Jefferson Avenue SEGrand Rapids, MI 49503 · Kent County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49506 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$15.58 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$70.09 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. STEVEN DENHOF D.O.
Emergency Medicine
1840 WEALTHY ST SE
GRAND RAPIDS, MI 49506
Kent County (616) 391-1730
EDWARD K LEE DO
Radiology (Radiation Oncology)
1840 WEALTHY ST SE
EAST GRAND RAPIDS, MI 49506
Kent County (616) 774-7845
BRYANT W PIERCE MD
Emergency Medicine (Emergency Medical Services)
1840 WEALTHY ST SE
GRAND RAPIDS, MI 49506
Kent County (616) 774-7444
ALYSON PETERS
Occupational Therapist
1840 WEALTHY ST SE
GRAND RAPIDS, MI 49506
Kent County (616) 774-7444
DR. SARA RISH URQUHART MD
Emergency Medicine
1840 WEALTHY ST SE
GRAND RAPIDS, MI 49506
Kent County (616) 391-1730
MR. JASON ANDREW RILEY CRNA
Nurse Anesthetist, Certified Registered
1840 WEALTHY ST SE
GRAND RAPIDS, MI 49506
Kent County (616) 774-7870
JUSTIN KYLE ERNST PA-C
Physician Assistant
1840 WEALTHY ST SE
GRAND RAPIDS, MI 49506
Kent County (616) 391-1730
BEESHAE WILKERSON P.A.
Nurse Practitioner
1840 WEALTHY ST SE, MC 426
GRAND RAPIDS, MI 49506
Kent County (616) 774-5221

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 Zamir Podgorica's NPI number?

The NPI number for Zamir Podgorica is 1366416463. It was assigned to this individual provider in the NPPES registry on February 15, 2006.

Where is Zamir Podgorica located?

Zamir Podgorica practices at 1840 Wealthy St SE Mc 426, Grand Rapids, MI 49506. The listed phone number is (616) 774-5221.

What is Zamir Podgorica's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Zamir Podgorica enrolled in Medicare?

Yes. Zamir Podgorica 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.

What insurance does Zamir Podgorica accept?

Health plans from Oscar Insurance Company and Priority Health list Zamir Podgorica 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.

Is Zamir Podgorica affiliated with any hospitals?

According to CMS data, Zamir Podgorica is affiliated with Mercy Health Saint Mary's.

When was this NPI record last updated?

The NPPES record for Zamir Podgorica was last updated on August 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.