1. Home
  2. Directory
  3. Wisconsin
  4. Milwaukee
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

STEFAN VIDOVICH
NPI 1669114583
Student in an Organized Health Care Education/Training Program in Milwaukee, WI

Active since April 11, 2022PECOS Enrolled
8701 WATERTOWN PLANK RD, MILWAUKEE, WI 53226(414) 955-0827 Get Directions Write a Review

NPPES record last updated: May 3, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 3, 2022, Apr 11, 2022 (2 updates tracked since 2022).

About Stefan Vidovich NPPES

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

STEFAN VIDOVICH (NPI 1669114583) is an individual student in an organized health care education/training program in Milwaukee, Wisconsin and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669114583
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSTEFAN VIDOVICH
Location Address8701 WATERTOWN PLANK RDMilwaukee, WI 53226-3548
Mailing Address8701 Watertown Plank RdMilwaukee, WI 53226-3548
Phone(414) 955-0827
Sole ProprietorNo
Enumeration DateApril 11, 2022
Last NPPES UpdateMay 3, 20222 updates tracked since enumeration
NPPES CertifiedMay 3, 2022
✔ NPI 1669114583 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.

8701 WATERTOWN PLANK RD, Milwaukee, WI 53226
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stefan Vidovich 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.

LEA JARRETT
Student in an Organized Health Care Education/Training Program
8701 WATERTOWN PLANK RD
MILWAUKEE, WI 53226
Milwaukee County (414) 955-4575
SARAH PATRICIA ERPENBECK
Student in an Organized Health Care Education/Training Program
8701 WATERTOWN PLANK RD
MILWAUKEE, WI 53226
Milwaukee County (414) 805-0805
JAKE HILL
Student in an Organized Health Care Education/Training Program
8701 WATERTOWN PLANK RD
MILWAUKEE, WI 53226
Milwaukee County (414) 805-8576
MADELINE MASTERSON MD
Student in an Organized Health Care Education/Training Program
8701 WATERTOWN PLANK RD
WAUWATOSA, WI 53226
Milwaukee County (414) 955-4575
HUNTER D'ACQUISTO
Student in an Organized Health Care Education/Training Program
8701 WATERTOWN PLANK RD
MILWAUKEE, WI 53226
Milwaukee County (414) 955-8296
OSAYD S BUIRAT DO
Student in an Organized Health Care Education/Training Program
8701 WATERTOWN PLANK RD
MILWAUKEE, WI 53226
Milwaukee County (414) 955-8296
DAKOTA VAUGHAN MD
Internal Medicine (Sleep Medicine)
8701 WATERTOWN PLANK RD
MILWAUKEE, WI 53226
Milwaukee County (414) 955-0437
ALICE YOONJAE LEE MD
Student in an Organized Health Care Education/Training Program
8701 WATERTOWN PLANK RD
MILWAUKEE, WI 53226
Milwaukee County (414) 955-1833

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 Stefan Vidovich's NPI number?

The NPI number for Stefan Vidovich is 1669114583. It was assigned to this individual provider in the NPPES registry on April 11, 2022.

Where is Stefan Vidovich located?

Stefan Vidovich practices at 8701 Watertown Plank Rd, Milwaukee, WI 53226. The listed phone number is (414) 955-0827.

What is Stefan Vidovich's specialty?

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

Is Stefan Vidovich enrolled in Medicare?

Yes. Stefan Vidovich is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Stefan Vidovich was last updated on May 3, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.