Active NPI
Buffy Granger Ivany, MD
- Family Medicine Physician
- Colorado Springs, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- DR.0067650
- Practice address
- 2860 S Circle Dr Ste 109
Colorado Springs, CO 80906-4195 - Phone
- (719) 540-2146
- NPI assigned
- Feb 9, 2006
- Last updated
- Apr 22, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0101233486 | VA | |
| Family Medicine Physician | 207Q00000X | DR.0067650 | CO | Primary |
Addresses
Primary practice location
2860 S Circle Dr Ste 109
Colorado Springs, CO 80906-4195
Mailing address
2860 S Circle Dr Ste 109
Colorado Springs, CO 80906-4195
Phone (719) 540-2146
Other practice location 1
3650 Joseph Siewick Dr
#400
Fairfax, VA 22033
Phone (703) 391-2020
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | bivany708262@soc.inova.org | Health Information Exchange (HIE) | Inova Physician Partners, LLC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DR.0067650 | CO | MD | Family Medicine Physician |
| 0101233486 | VA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inova Physician Partners, LLC | Family Medicine | Current | Accepting new patients |
| Family Care Center, LLC | Current | Accepting new patients | |
| Family Care Center, LLC | Family Medicine | Current | Accepting new patients |
| Inova Physician Partners, Inc. - Specialists | Past | Accepting new patients |
Locations
2860 S Circle Dr
Ste 109
Colorado Springs, CO 80906
Phone 71954021004002
3715 Parkmoor Village Dr
Ste 102
Colorado Springs, CO 80917
Phone (719) 540-2127
20905 Professional Plz
Ste 330
Ashburn, VA 20147
Phone (703) 726-0003
3914 Centreville Rd
Ste 250
Chantilly, VA 20151
Phone (703) 435-1223
3650 Joseph Siewick Dr
Ste 400
Fairfax, VA 22033
Phone (703) 391-2020
115 Park St SE
Ste 300
Vienna, VA 22180
Phone (703) 255-9100
Interoperability endpoints
- bivany708262@soc.inova.org
Organizations & group practices 4
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
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- NPI 1790141984
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- NPI 1598535288
-
- Orthopaedic Surgery Physician
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- NPI 1811204050
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650585600000",
"number": "1437122306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2860 S CIRCLE DR STE 109",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809064195",
"telephone_number": "719-540-2146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2860 S CIRCLE DR STE 109",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809064195",
"telephone_number": "719-540-2146"
}
],
"practiceLocations": [
{
"address_1": "3650 Joseph Siewick Dr",
"address_2": "#400",
"address_purpose": "LOCATION",
"city": "Fairfax",
"state": "VA",
"postal_code": "22033",
"country_code": "US",
"telephone_number": "703-391-2020",
"fax_number": "703-391-1211",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "IVANY",
"first_name": "BUFFY",
"middle_name": "GRANGER",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-09",
"last_updated": "2022-04-22",
"certification_date": "2022-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0101233486",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CO",
"license": "DR.0067650",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "bivany708262@soc.inova.org",
"affiliation": "Y",
"endpointDescription": "Health Information Exchange",
"affiliationName": "Inova Physician Partners, LLC",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "3650 Joseph Siewick Dr",
"address_2": "#400",
"city": "Fairfax",
"state": "VA",
"country_code": "US",
"postal_code": "22033",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.