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MR. RADOVAN ANZULOVIC PA
NPI 1518427129
Physician Assistant in Blythe, CA

Active since March 20, 2019PECOS EnrolledAccepts Medicare Assignment
321 W HOBSONWAY, BLYTHE, CA 92225(760) 660-4790(866) 554-1794 Get Directions Write a Review

NPPES record last updated: March 5, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Mar 5, 2026, May 15, 2019, Mar 20, 2019 (3 updates tracked since 2019).

About Mr. Radovan Anzulovic Pa NPPES

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

MR. RADOVAN ANZULOVIC PA (NPI 1518427129) is an individual physician assistant in Blythe, California, licensed in California (PA56599) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1518427129
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. RADOVAN ANZULOVICCredential: PA
Location Address321 W HOBSONWAYBlythe, CA 92225-1651
Mailing Address179 N Elm StFruita, CO 81521-2208 · (303) 667-3254
Phone(760) 660-4790
Fax(866) 554-1794
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 20, 2019
Last NPPES UpdateMarch 5, 20263 updates tracked since enumeration
NPPES CertifiedMarch 5, 2026
✔ NPI 1518427129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in CA · PA56599✔ Licensed in CO · PA.0005629
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
321 W HOBSONWAY, Blythe, CA 92225
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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

Mr. Radovan Anzulovic Pa 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 ID345573655
PECOS Enrollment IDI20190531000120
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92225 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
Most-billed visit code 99213
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 3

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

BLYTHE OASIS COMMUNITY INC
Nurse Practitioner (Family)
321 W HOBSONWAY
BLYTHE, CA 92225
Riverside County (760) 660-4790
MARIETTA C HOLT NP
Nurse Practitioner
321 W HOBSONWAY, C
BLYTHE, CA 92225
Riverside County (760) 344-9951
LYNN BRUNET PA-C
Physician Assistant
321 W HOBSONWAY, SUITE C
BLYTHE, CA 92225
Riverside County (760) 344-9951

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 Radovan Anzulovic's NPI number?

The NPI number for Radovan Anzulovic is 1518427129. It was assigned to this individual provider in the NPPES registry on March 20, 2019.

Where is Radovan Anzulovic located?

Radovan Anzulovic practices at 321 W Hobsonway, Blythe, CA 92225. The listed phone number is (760) 660-4790.

What is Radovan Anzulovic's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Radovan Anzulovic enrolled in Medicare?

Yes. Radovan Anzulovic 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.

When was this NPI record last updated?

The NPPES record for Radovan Anzulovic was last updated on March 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.