MISS JOVANA VIDOVIC MD
NPI 1922680909
Internal Medicine in Derby, CT

Active since April 28, 2021PECOS Enrolled
130 DIVISION ST, DERBY, CT 06418(203) 732-1330(203) 732-1332 Get Directions Write a Review

NPPES record last updated: April 7, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 7, 2026, Aug 20, 2024, Feb 22, 2022 and 1 more (4 updates tracked since 2021).

About Miss Jovana Vidovic Md NPPES

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

MISS JOVANA VIDOVIC MD (NPI 1922680909) is an individual internal medicine provider in Derby, Connecticut, licensed in Connecticut (82869) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1922680909
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMISS JOVANA VIDOVICCredential: MD
Location Address130 DIVISION STDerby, CT 06418-1326
Mailing Address67 Maple AveDerby, CT 06418-1328
Fax(203) 732-1332
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateApril 28, 2021
Last NPPES UpdateApril 7, 20264 updates tracked since enumeration
NPPES CertifiedApril 7, 2026
✔ NPI 1922680909 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 CT · 82869
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 ListedInternal Medicine · Endocrinology, Diabetes & MetabolismTaxonomy 207RE0101X · License 82869 (CT)
130 DIVISION ST, Derby, CT 06418

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miss Jovana Vidovic Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4880034081
PECOS Enrollment IDI20260522002377
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 Jovana Vidovic reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Thoracic Surgery (Cardiothoracic Vascular Surgery)
67 MAPLE AVE, 2ND FLOOR
Derby, CT 06418
  • Reassigned Medicare billing, Connecticut enrollment
  • 190 clinicians in this Medicare group

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 06418 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
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 20

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

Dietitian, Registered
130 DIVISION ST
DERBY, CT 06418
Dietitian, Registered
130 DIVISION ST
DERBY, CT 06418
Nurse Practitioner
130 DIVISION ST
DERBY, CT 06418
Emergency Medicine (Emergency Medical Services)
130 DIVISION ST
DERBY, CT 06418
Nurse Anesthetist, Certified Registered
130 DIVISION ST
DERBY, CT 06418
Nurse Practitioner (Psychiatric/Mental Health)
130 DIVISION ST
DERBY, CT 06418
Student in an Organized Health Care Education/Training Program
130 DIVISION ST
DERBY, CT 06418
Pharmacist
130 DIVISION ST
DERBY, CT 06418

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 Jovana Vidovic's NPI number?

The NPI number for Jovana Vidovic is 1922680909. It was assigned to this individual provider in the NPPES registry on April 28, 2021.

Where is Jovana Vidovic located?

Jovana Vidovic practices at 130 Division St, Derby, CT 06418. The listed phone number is (203) 732-1330.

What is Jovana Vidovic's specialty?

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

Is Jovana Vidovic enrolled in Medicare?

Yes. Jovana Vidovic is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jovana Vidovic's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jovana Vidovic reassigns Medicare benefits to Griffin Faculty Physicians, Inc. (Derby, CT). 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 Jovana Vidovic's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jovana Vidovic was last updated on April 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.