Individual provider Active NPI

Lou V. Ivanovic, M.D., FACC

  • Cardiovascular Disease Physician
  • Phoenix, AZ
National Provider Identifier
1245220730
Registry record updated Oct 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
62323 Issued in AZ
Practice address
3805 E Bell Rd Ste 3100
Phoenix, AZ 85032-2136
Phone
(602) 867-8644
Fax
(602) 606-5128
NPI assigned
Oct 26, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 62323 AZ Primary

Addresses

Primary practice location

3805 E Bell Rd Ste 3100
Phoenix, AZ 85032-2136

Mailing address

3805 E Bell Rd Ste 3100
Phoenix, AZ 85032-2136
Phone (602) 494-3656

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220616002719 AZ Practitioner - Cardiovascular Disease (Cardiology) 6608845888 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiovascular Consultants LTDGroup PAC ID 3577551084, 21 clinicians
Healthyu Family Medicine LLCGroup PAC ID 6204224918, 43 clinicians

Practice addresses (Care Compare)

10210 N 92ND St
Suite 301
Scottsdale, AZ 85258-4525
Phone (602) 867-8644

15255 N 40TH St
Suite 105
Phoenix, AZ 85032-4636
Phone (602) 491-0703

1835 W Missouri Ave
Phoenix, AZ 85015-3046
Phone (602) 230-0777

3200 N Dobson Rd
Suite B 1
Chandler, AZ 85224-9608
Phone (602) 491-0703

3805 E Bell Rd
Suite 3100
Phoenix, AZ 85032-2136

5422 W Thunderbird Rd
Suite 8
Glendale, AZ 85306-4717
Phone (602) 867-8644

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiovascular Consultants LTD CurrentSince Jul 1, 2022 Accepting new patients
Cardiovascular Consultants LTD CurrentSince Jul 1, 2022 Accepting new patients
Healthyu Family Medicine, LLC Internal Medicine CurrentSince Sep 15, 2025 Accepting new patients
Adventist Health California Medical Group, Inc. Internal Medicine Past Accepting new patients
Presence Healthcare Services Internal Medicine Past Accepting new patients
Healthyu Phoenix 31St Avenue, LLC PastSince Dec 6, 2022 Accepting new patients
Healthyu Glendale Olive PastSince Feb 12, 2023 Accepting new patients
West Suburban Medical Center Internal Medicine Past Accepting new patients
Mohammad Waseem Kagzi MD LTD Internal Medicine Past Accepting new patients
Chicago Vascular Clinic LTD Cardiovascular Disease Past Accepting new patients
Shane Speirs MD PC Past Accepting new patients

Locations

13026 W Rancho Santa Fe Blvd
Avondale, AZ 85392

3200 N Dobson Rd
Ste B-1
Chandler, AZ 85224
Phone (602) 491-0701

3200 N Dobson Rd
Chandler, AZ 85224
Phone (480) 420-7514

2353 E Baseline Rd
Gilbert, AZ 85234

18700 N 64th Dr
Ste 101
Glendale, AZ 85308
Phone (623) 561-6211

5112 W Olive Ave
Glendale, AZ 85302
Phone (602) 491-0701

5422 W Thunderbird Rd
Ste 8
Glendale, AZ 85306
Phone (602) 978-0698

840 E McKellips Rd
Ste 107
Mesa, AZ 85203
Phone (602) 491-0701

840 E McKellips Rd
Mesa, AZ 85203

15255 N 40th St
Ste 105
Phoenix, AZ 85032
Phone (602) 867-2690

16841 N 31st Ave
Phoenix, AZ 85053
Phone (928) 533-2816

16841 N 31st Ave
Ste 130
Phoenix, AZ 85053

3805 E Bell Rd
Ste 3100
Phoenix, AZ 85032
Phone (602) 494-3656

1835 W Missouri Ave
Phoenix, AZ 85015
Phone (602) 230-0777

1728 W Glendale Ave
Ste 301
Phoenix, AZ 85021
Phone (602) 249-1972

2000 W Bethany Home Rd
Ste 200
Phoenix, AZ 85015
Phone (602) 246-5525

16841 N 31st Ave
Bldg 3
Phoenix, AZ 85053

20565 N 19th Ave
Phoenix, AZ 85027
Phone 61064489002831

12100 N Dysart Rd
Surprise, AZ 85379

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24378/brand/3/csg/1/fhir/r4
  • Direct secure messaging: lou.ivanovic.1@24378.direct.athenahealth.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666137600000",
    "number": "1245220730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3805 E BELL RD STE 3100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322136",
            "telephone_number": "602-494-3656",
            "fax_number": "602-867-3862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3805 E BELL RD STE 3100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322136",
            "telephone_number": "602-867-8644",
            "fax_number": "602-606-5128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVANOVIC",
        "first_name": "LOU",
        "middle_name": "V.",
        "credential": "M.D., FACC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-26",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AZ",
            "license": "62323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.