Active NPI
Iva Zivna, M.D.
- Infectious Disease Physician
- Worcester, MA
National Provider Identifier
1083670368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- 216842
- Practice address
- 119 Belmont St
Worcester, MA 01605-2903 - Phone
- (508) 334-6053
- Fax
- (508) 334-6412
- NPI assigned
- Apr 25, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | 216842 | MA | Primary |
Addresses
Primary practice location
119 Belmont St
Worcester, MA 01605-2903
Mailing address
PO Box 415348
Boston, MA 02241-5348
Other practice location 1
60 Hospital Rd
Leominster, MA 01453-2205
Phone (978) 978-2000
Other practice location 2
55 Lake Ave N
Department of Infectious Disease
Worcester, MA 01655-0002
Phone (774) 441-8230
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110041551A | Medicaid | MA |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | izivna24052@UmassMemorial.direct-ci.com | ||
| FHIR URL | https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- izivna24052@umassmemorial.direct-ci.com
- iva.zivna.p1@direct.chcfhc.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613088000000",
"number": "1083670368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 415348",
"city": "BOSTON",
"state": "MA",
"postal_code": "022415348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 BELMONT ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016052903",
"telephone_number": "508-334-6053",
"fax_number": "508-334-6412"
}
],
"practiceLocations": [
{
"address_1": "60 Hospital Rd",
"address_purpose": "LOCATION",
"city": "Leominster",
"state": "MA",
"postal_code": "014532205",
"country_code": "US",
"telephone_number": "978-978-2000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "55 Lake Ave N",
"address_2": "Department of Infectious Disease",
"address_purpose": "LOCATION",
"city": "Worcester",
"state": "MA",
"postal_code": "016550002",
"country_code": "US",
"telephone_number": "774-441-8230",
"fax_number": "508-334-3428",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZIVNA",
"first_name": "IVA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-25",
"last_updated": "2021-02-12",
"certification_date": "2021-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "MA",
"license": "216842",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110041551A",
"state": "MA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "izivna24052@UmassMemorial.direct-ci.com",
"affiliation": "N",
"address_1": "60 Hospital Rd",
"city": "Leominster",
"state": "MA",
"country_code": "US",
"postal_code": "014532205",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "60 Hospital Rd",
"city": "Leominster",
"state": "MA",
"country_code": "US",
"postal_code": "014532205",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.