ALEKSANDAR OBRADOVIC MD
NPI 1649909144
Student in an Organized Health Care Education/Training Program in Utica, NY

Q: What is Aleksandar Obradovic's NPI number?

The NPI number for Aleksandar Obradovic is 1649909144. It was assigned to this individual provider in the NPPES registry on June 9, 2022.

Q: What is Aleksandar Obradovic's specialty?

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

Active since June 09, 2022PECOS Enrolled

1656 CHAMPLIN AVE, UTICA, NY 13502(315) 624-6332(315) 624-6337 Get Directions Write a Review

NPPES record last updated: June 9, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Aleksandar Obradovic Md NPPES

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

ALEKSANDAR OBRADOVIC MD (NPI 1649909144) is an individual student in an organized health care education/training program in Utica, New York and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649909144

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameALEKSANDAR OBRADOVICCredential: MD

Location Address1656 CHAMPLIN AVEUtica, NY 13502-4830

Mailing Address2209 Genesee Street, Business Office Room 315Utica, NY 13501 · (315) 801-3282 · Fax (315) 801-8391

Phone(315) 624-6332

Fax(315) 624-6337

Sole ProprietorNo

Enumeration DateJune 9, 2022

NPPES CertifiedJune 3, 2022

✔ NPI 1649909144 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

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.

1656 CHAMPLIN AVE, Utica, NY 13502

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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 (PECOS)

Aleksandar Obradovic Md 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.

DR. JOHN F SPERLING M.D.

Surgery

1656 CHAMPLIN AVE, P.O.B., SUITE 335
UTICA, NY 13502

Oneida County (315) 624-4090

MR. TRACY S HEATON R.PH,

Pharmacist