Iskra Ivanova Ivanova, M.D.

Primary specialty

Pediatric Anesthesiology PhysicianTaxonomy code 207LP3000X

License

MD60057958 Issued in WA

Practice address

123 2ND Ave N
Apt. 526
Seattle, WA 98109-4995

Phone

(206) 987-3996

NPI assigned

Mar 27, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

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

Specialty

Anesthesiology

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Association of Chrmc and University PhysiciansGroup PAC ID 9133032964, 313 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Seattle Children's Hospital Hospital, Seattle, WA, CCN 503300

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• The Association of Chrmc and University Physicians

  dba Children's University Medical Group

  • Pediatrics Physician
  • Seattle, WA
  • NPI 1255449963

  Anesthesiology

  Medicare reassignment Care Compare group NPD
• Association of CHMC and University Physicians

  • Pediatrics Physician
  • Richland, WA
  • NPI 1851680664
  NPD

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

• Seattle Children's Hospital

  • Specialist
  • Seattle, WA
  • NPI 1003319500

  Hospital

  Care Compare affiliation
• Seattle Children's Hospital

  • Rehabilitation Hospital Unit
  • Seattle, WA
  • NPI 1184708992
  Care Compare affiliation
• Seattle Children's Hospital

  • Children's Hospital
  • Seattle, WA
  • NPI 1467536276
  Care Compare affiliation
• Seattle Children's Hospital

  • Psychiatric Hospital Unit
  • Seattle, WA
  • NPI 1477622595
  Care Compare affiliation
• Seattle Children's Hospital

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Seattle, WA
  • NPI 1811041692

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490140800000",
    "number": "1386763076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 2ND AVE N",
            "address_2": "APT. 526",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981094995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 2ND AVE N",
            "address_2": "APT. 526",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981094995",
            "telephone_number": "206-987-3996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVANOVA",
        "first_name": "ISKRA",
        "middle_name": "IVANOVA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2017-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "MT183412",
            "primary": false
        },
        {
            "code": "207LP3000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pediatric Anesthesiology",
            "state": "WA",
            "license": "MD60057958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Nathaniel Ivanick, MD
• Mary M Ivanjack
• Leah Marie Ivanoff, LMP
• Roumen Kirilov Ivanov, MD
• Danielle Kathryn Ivanova, D.O.
• Katsiaryna Ivashkevich, MD
• Emily Ivers
• Jessica Anne Ivers, M.D.
• Kimberly Dawn Iversen, PA-C
• Peter B Iversen Jr., D.D.S.

• Pediatric Anesthesiology Physician in Seattle, WA
• Providers in Seattle, WA by specialty
• Pediatric Anesthesiology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.