Individual provider Active NPI

Ivan Jambor, M.D., PH.D

  • Diagnostic Radiology Physician
  • Dover, NH
National Provider Identifier
1356796981
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
22191 Issued in NH
Practice address
789 Central Ave
Dover, NH 03820-2526
Phone
(603) 516-1307
NPI assigned
May 2, 2016
Reactivated
Feb 8, 2017
Last updated
May 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 22191 NH Primary
Student in an Organized Health Care Education/Training Program 390200000X
Student in an Organized Health Care Education/Training Program 390200000X 67548 CT
Diagnostic Radiology Physician 2085R0202X A203044 CA

Addresses

Primary practice location

789 Central Ave
Dover, NH 03820-2526

Mailing address

20 York St
New Haven, CT 06510-3220
Phone (203) 688-4242

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, IN, MA, CA, NV5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20220601002939 NH Practitioner - Diagnostic Radiology 0840584553 Reassigns benefits to 3 organizations
I20221019001617 IN Practitioner - Diagnostic Radiology 0840584553 Reassigns benefits to 2 organizations
I20230131002408 MA Practitioner - Diagnostic Radiology 0840584553 Reassigns benefits to 3 organizations
I20250611003284 CA Practitioner - Diagnostic Radiology 0840584553 Reassigns benefits to 2 organizations
I20250611003571 NV Practitioner - Diagnostic Radiology 0840584553 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
High Desert Imaging LLCGroup PAC ID 2769781244, 12 clinicians

Practice addresses (Care Compare)

102 Endicott St
Danvers, MA 01923-3623
Phone (978) 354-4181

170 Governors Ave
Medford, MA 02155-1643
Phone (781) 395-4909

2110 Idaho St
Elko, NV 89801-2625
Phone (775) 621-5800

30 Tuscan Blvd
Salem, NH 03079-3981
Phone (857) 282-8100

480 Lynnfield St
Lynn, MA 01904-1419
Phone (781) 342-4386

81 Highland Ave
Salem, MA 01970-2714
Phone (978) 354-4181

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A203044CAMDDiagnostic Radiology Physician
67548CTMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
The General Hospital Corporation CurrentSince Jan 27, 2023 Accepting new patients
High Desert Imaging LLC CurrentSince Jun 2, 2025 Accepting new patients
Southern Indiana Radiological Associates Inc Diagnostic Radiology CurrentSince Nov 1, 2022 Accepting new patients
Seacoast Radiology, PA Diagnostic Radiology CurrentSince Jul 1, 2022 Accepting new patients
Wentworth Douglass Hospital Diagnostic Radiology Current Accepting new patients
Mass General Brigham Community Physicians Inc CurrentSince Jan 27, 2023 Accepting new patients
Sira Imaging Center LLC Diagnostic Radiology CurrentSince Nov 1, 2022 Accepting new patients
Northern Inyo Healthcare District CurrentSince Oct 15, 2025 Accepting new patients
Tahoe Carson Radiology Loos Et Al LTD Diagnostic Radiology CurrentSince Jun 2, 2025 Accepting new patients
Northern Inyo Healthcare District CurrentSince Oct 15, 2025 Accepting new patients

Locations

150 Pioneer Ln
Bishop, CA 93514
Phone (760) 873-2136

429 S Landmark Ave
Bloomington, IN 47403

500 S Landmark Ave
Bloomington, IN 47403
Phone (812) 333-7676

55 Fruit St
Boston, MA 02114

55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967

170 Governors Ave
Medford, MA 02155
Phone (781) 306-6000

399 Revolution Dr
Ste 1010
Somerville, MA 02145
Phone (857) 282-0165

10 Members Way
Dover, NH 03820
Phone (603) 740-2307

2 Washington St
Ste 329
Dover, NH 03820

789 Central Ave
Dover, NH 03820
Phone (603) 740-2832

67 Corporate Dr
#300
Portsmouth, NH 03801
Phone (603) 516-0092

30 Tuscan Blvd
Salem, NH 03079
Phone (857) 282-8100

2874 N Carson St
Ste 300
Carson City, NV 89706
Phone (775) 445-5500

775 Fleischmann Way
Carson City, NV 89703
Phone (775) 445-5632

2001 Errecart Blvd
Elko, NV 89801
Phone (775) 738-5151

2098 Idaho St
Elko, NV 89801
Phone (775) 323-6100

2110 Idaho St
Elko, NV 89801
Phone (775) 621-5800

Interoperability endpoints

  • Direct secure messaging: ijambor800068@direct.med.utah.edu
  • Direct secure messaging: jambor.ivan.wdh@direct.partners.masshiway.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1462147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780012800000",
    "number": "1356796981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 YORK ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065103220",
            "telephone_number": "203-688-4242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "789 CENTRAL AVE",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038202526",
            "telephone_number": "603-516-1307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMBOR",
        "first_name": "IVAN",
        "name_prefix": "Mr.",
        "credential": "M.D., PH.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-02",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "deactivation_date": "2016-12-30",
        "reactivation_date": "2017-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NH",
            "license": "22191",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CT",
            "license": "67548",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A203044",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, NH

Sources for this page

Verify at the official NPI Registry.