DR. KEVIN ALEXANDER DJORDJEVIC DO
NPI 1407602345
Student in an Organized Health Care Education/Training Program in Memphis, TN

Active since April 30, 2024PECOS Enrolled
920 MADISON AVE STE 447, MEMPHIS, TN 38103(901) 448-2884 Get Directions Write a Review

NPPES record last updated: April 30, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Kevin Alexander Djordjevic Do NPPES

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

DR. KEVIN ALEXANDER DJORDJEVIC DO (NPI 1407602345) is an individual student in an organized health care education/training program in Memphis, Tennessee and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407602345
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. KEVIN ALEXANDER DJORDJEVICCredential: DO
Location Address920 MADISON AVE STE 447Memphis, TN 38103-3438
Mailing Address920 Madison Ave Fl 2Memphis, TN 38103-3438
Sole ProprietorNo
Enumeration DateApril 30, 2024
NPPES CertifiedApril 30, 2024
NPI 1407602345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
920 MADISON AVE STE 447, Memphis, TN 38103

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. Kevin Alexander Djordjevic Do 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.

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.

Student in an Organized Health Care Education/Training Program
920 MADISON AVE STE 447
MEMPHIS, TN 38103
Plastic Surgery
920 MADISON AVE STE 447
MEMPHIS, TN 38103
Student in an Organized Health Care Education/Training Program
920 MADISON AVE STE 447
MEMPHIS, TN 38103
Student in an Organized Health Care Education/Training Program
920 MADISON AVE STE 447
MEMPHIS, TN 38103
Internal Medicine (Nephrology)
920 MADISON AVE STE 447
MEMPHIS, TN 38103
Student in an Organized Health Care Education/Training Program
920 MADISON AVE STE 447
MEMPHIS, TN 38103
Student in an Organized Health Care Education/Training Program
920 MADISON AVE STE 447
MEMPHIS, TN 38103
Student in an Organized Health Care Education/Training Program
920 MADISON AVE STE 447
MEMPHIS, TN 38103

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 Kevin Djordjevic's NPI number?

The NPI number for Kevin Djordjevic is 1407602345. It was assigned to this individual provider in the NPPES registry on April 30, 2024.

Where is Kevin Djordjevic located?

Kevin Djordjevic practices at 920 Madison Ave Ste 447, Memphis, TN 38103. The listed phone number is (901) 448-2884.

What is Kevin Djordjevic's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kevin Djordjevic enrolled in Medicare?

Yes. Kevin Djordjevic is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kevin Djordjevic was last updated on April 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.