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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BLEDAR KOVACI M.D.
NPI 1447493002
Internal Medicine in East Cleveland, OH

Active since April 13, 2009PECOS EnrolledAccepts Medicare Assignment
13951 TERRACE RD, EAST CLEVELAND, OH 44112(216) 761-3300 Get Directions Write a Review

NPPES record last updated: September 29, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Bledar Kovaci M.d. NPPES

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

BLEDAR KOVACI M.D. (NPI 1447493002) is an individual internal medicine provider in East Cleveland, Ohio, licensed in Ohio (57.013138) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS, is affiliated with Mercy Regional Medical Center, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1447493002
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameBLEDAR KOVACICredential: M.D.
Location Address13951 TERRACE RDEast Cleveland, OH 44112-4308
Mailing Address1480 Warren Rd Apt 304Lakewood, OH 44107-3926
Phone(216) 761-3300
Sole ProprietorYes
Medical School CMSOtherGraduated 2001
Enumeration DateApril 13, 2009
Last NPPES UpdateSeptember 29, 2026
NPPES CertifiedSeptember 29, 2026
✔ NPI 1447493002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OH · 57.013138
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License 35.099769 (OH)
13951 TERRACE RD, East Cleveland, OH 44112
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Bledar Kovaci 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 ID4789831900
PECOS Enrollment IDI20120823000286
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Bledar Kovaci reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Hospitals Medical Group Inc
1.8 mi
Multi-Specialty
11100 EUCLID AVE
Cleveland, OH 44106
  • Reassigned Medicare billing, Ohio enrollment
  • 3,958 clinicians in this Medicare group
NPI 1669499414 (216) 844-1000
Southwest General Medical Group, Inc.
14 mi
Orthopaedic Surgery
15900 SNOW RD
Brook Park, OH 44142
  • Reassigned Medicare billing, Ohio enrollment
  • 283 clinicians in this Medicare group
NPI 1144414871 (216) 676-1234
Hni Medical Services Of Ohio, LLC
17 mi
Internal Medicine
18697 BAGLEY RD
Middleburg Heights, OH 44130
  • Reassigned Medicare billing, Ohio enrollment
  • 144 clinicians in this Medicare group
NPI 1356815922 (440) 542-5000
North East Ohio Group Practice LLC
17 mi
Internal Medicine
18697 BAGLEY RD
Middleburg Heights, OH 44130
  • Reassigned Medicare billing, Ohio enrollment
  • 238 clinicians in this Medicare group
NPI 1063575462 (440) 542-5000
Community Hospitalist, LLC
35 mi
Hospitalist
3700 KOLBE RD
Lorain, OH 44053
  • Reassigned Medicare billing, Ohio enrollment
  • 325 clinicians in this Medicare group
NPI 1538236872 (440) 960-4000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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.
332 services154 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.
133 services94 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.
123 services119 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.
88 services85 patients

Hospital Affiliations CMS Care Compare 2

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

Mercy Regional Medical Center

Acute Care Hospitals · Lorain, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360172
Location3700 Kolbe RoadLorain, OH 44053 · Lorain County
Emergency services Birthing friendly

Cleveland Clinic

Acute Care Hospitals · Cleveland, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360180
Location9500 Euclid AvenueCleveland, OH 44195 · Cuyahoga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44112 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $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.

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
2 suppliers54 claims54 services$76.84 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers64 claims64 services$31.16 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. JOHN D BROWNLEE M.D.
Specialist
13951 TERRACE RD
EAST CLEVELAND, OH 44112
Cuyahoga County (216) 761-3300
DR. VEDANTUM CHARI M.D.
Specialist
13951 TERRACE RD
EAST CLEVELAND, OH 44112
Cuyahoga County (216) 761-4223
MELISSA A. PATTON PA-C
Physician Assistant
13951 TERRACE RD
EAST CLEVELAND, OH 44112
Cuyahoga County (216) 761-3300
KERRY J LEONARD PA-C
Physician Assistant
13951 TERRACE RD
EAST CLEVELAND, OH 44112
Cuyahoga County (216) 761-3300
JEFFREY SCOTT KIME ATC
Specialist/Technologist (Athletic Trainer)
13951 TERRACE RD
EAST CLEVELAND, OH 44112
Cuyahoga County (216) 761-6943
JOHN C. THOMAS PA-C
Physician Assistant
13951 TERRACE RD
EAST CLEVELAND, OH 44112
Cuyahoga County (216) 761-3300
CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION
Psychiatric Unit
13951 TERRACE RD
CLEVELAND, OH 44112
Cuyahoga County (216) 761-3300
DALE W. PIGNOLET M.D.
Personal Emergency Response Attendant
13951 TERRACE RD
EAST CLEVELAND, OH 44112
Cuyahoga County (216) 761-3300

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 Bledar Kovaci's NPI number?

The NPI number for Bledar Kovaci is 1447493002. It was assigned to this individual provider in the NPPES registry on April 13, 2009.

Where is Bledar Kovaci located?

Bledar Kovaci practices at 13951 Terrace Rd, East Cleveland, OH 44112. The listed phone number is (216) 761-3300.

What is Bledar Kovaci's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Bledar Kovaci enrolled in Medicare?

Yes. Bledar Kovaci 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.

Which organizations bill Medicare for Bledar Kovaci's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bledar Kovaci reassigns Medicare benefits to 5 organizations: University Hospitals Medical Group Inc (Cleveland, OH), Southwest General Medical Group, Inc. (Brook Park, OH), Hni Medical Services Of Ohio, LLC (Middleburg Heights, OH), North East Ohio Group Practice LLC (Middleburg Heights, OH) and Community Hospitalist, LLC (Lorain, OH). Each 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 Bledar Kovaci's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Bledar Kovaci accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Paramount list Bledar Kovaci 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 Bledar Kovaci affiliated with any hospitals?

According to CMS data, Bledar Kovaci is affiliated with Mercy Regional Medical Center and Cleveland Clinic.

When was this NPI record last updated?

The NPPES record for Bledar Kovaci was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days 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.