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IDA JIVOTOVSKI
NPI 1477229144
Nurse Practitioner - Pediatrics in Stamford, CT

Active since August 21, 2021PECOS Enrolled
1200 HIGH RIDGE RD STE 3, STAMFORD, CT 06905(465) 813-2176 Get Directions Write a Review

NPPES record last updated: November 22, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 22, 2024, May 14, 2024, Aug 21, 2021 (3 updates tracked since 2021).

About Ida Jivotovski NPPES

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

IDA JIVOTOVSKI (NPI 1477229144) is an individual pediatrics provider in Stamford, Connecticut, licensed in Connecticut (9884) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477229144
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameIDA JIVOTOVSKI
Location Address1200 HIGH RIDGE RD STE 3Stamford, CT 06905-1202
Mailing Address51 Dennis LnPleasantville, NY 10570-1032 · (631) 316-4553
Phone(465) 813-2176
Sole ProprietorNo
Enumeration DateAugust 21, 2021
Last NPPES UpdateNovember 22, 20243 updates tracked since enumeration
NPPES CertifiedNovember 22, 2024
✔ NPI 1477229144 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in CT · 9884
1200 HIGH RIDGE RD STE 3, Stamford, CT 06905
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ida Jivotovski 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.

Medicare Billing Reassignment

Medicare enrollment records show Ida Jivotovski reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

New York University
1,071 mi
Cardiovascular Disease
3301 QUANTUM BLVD
Boynton Beach, FL 33426
  • Reassigned Medicare billing, Connecticut and New York enrollments
  • 12 clinicians in this Medicare group
NPI 1285826438 (877) 648-2964

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06905 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JANE EGAN-ERBE OTR
Occupational Therapist (Pediatrics)
1200 HIGH RIDGE RD STE 3
STAMFORD, CT 06905
Western Connecticut Planning Region (917) 365-9414
MS. LAUREN ANN GIANNATTASIO LCSW
Social Worker (Clinical)
1200 HIGH RIDGE RD STE 3
STAMFORD, CT 06905
Western Connecticut Planning Region (203) 219-4887

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 Ida Jivotovski's NPI number?

The NPI number for Ida Jivotovski is 1477229144. It was assigned to this individual provider in the NPPES registry on August 21, 2021.

Where is Ida Jivotovski located?

Ida Jivotovski practices at 1200 High Ridge Rd Ste 3, Stamford, CT 06905. The listed phone number is (465) 813-2176.

What is Ida Jivotovski's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Ida Jivotovski enrolled in Medicare?

Yes. Ida Jivotovski is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ida Jivotovski's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ida Jivotovski reassigns Medicare benefits to New York University (Boynton Beach, FL). The 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 Ida Jivotovski's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ida Jivotovski accept?

Health plans from Anthem Blue Cross and Blue Shield list Ida Jivotovski 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 Ida Jivotovski was last updated on November 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.