Douglas Peter Ivancsits, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

ME110379 Issued in FL

Practice address

2330 Utah Ave Ste 200
El Segundo, CA 90245-4817

Phone

(424) 290-8004

NPI assigned

Mar 23, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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

Diagnostic Radiology

Education

University of South Florida College of Medicine, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Concord Radiology PLLCGroup PAC ID 8628332061, 217 clinicians

Mori Bean and Brooks IncGroup PAC ID 8820077878, 966 clinicians

Tower Imaging LLCGroup PAC ID 2860470077, 95 clinicians

Gastro Health, LLCGroup PAC ID 2365440567, 246 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Tampa General Hospital Hospital, Tampa, FL, CCN 100128
• Sacred Heart Hospital Hospital, Pensacola, FL, CCN 100025
• Tampa General Hospital Brooksville Hospital, Brooksville, FL, CCN 100071
• Ascension St John Medical Center Hospital, Tulsa, OK, CCN 370114
• Ascension Sacred Heart Bay Hospital, Panama City, FL, CCN 100026

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

Interoperability endpoints

• FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
• Direct secure messaging: divancsits22369@direct.tgh.org

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.

• Concord Radiology PLLC

  • Diagnostic Radiology Physician
  • Lubbock, TX
  • NPI 1598260515

  FL

  Medicare reassignment Care Compare group NPD
• Gastro Health LLC

  • Gastroenterology Physician
  • Miami, FL
  • NPI 1487767133
  Medicare reassignment Care Compare group NPD
• Mori Bean and Brooks Inc

  dba Coastal Vein Vascular Institute

  • Diagnostic Radiology Physician
  • Tampa, FL
  • NPI 1093782070
  Medicare reassignment Care Compare group NPD
• Tower Imaging LLC

  dba TGH Imaging

  • Diagnostic Radiology Physician
  • Tampa, FL
  • NPI 1467654244
  Medicare reassignment Care Compare group NPD
• Coaxion PLLC

  • Diagnostic Radiology Physician
  • Lubbock, TX
  • NPI 1629805221

  FL

  Medicare reassignment NPD
• Gastroenterology Associates of Pensacola PA

  • Gastroenterology Physician
  • Pensacola, FL
  • NPI 1235223785
  Medicare reassignment NPD
• Medical Technology Transfer Corporation

  dba Harris Family Medical Center

  • Primary Care Clinic/Center
  • Melbourne, FL
  • NPI 1104947217
  Medicare reassignment NPD
• University Medical Service Association Inc

  • Physical Therapist
  • Tampa, FL
  • NPI 1992742324
  Medicare reassignment NPD
• Women's Care Florida LLC

  • Obstetrics & Gynecology Physician
  • Tampa, FL
  • NPI 1013902923
  Medicare reassignment NPD
• Florida Diagnostic Imaging Center Inc

  dba Panama City Open MRI & Imaging

  • Diagnostic Radiology Physician
  • Panama City, FL
  • NPI 1225096936
  NPD
• Florida Diagnostic Imaging Center Inc

  dba Pensacola Open MRI

  • Diagnostic Radiology Physician
  • Pensacola, FL
  • NPI 1235197930
  NPD
• Gastro Health, LLC

  • Gastroenterology Physician
  • Pembroke Pines, FL
  • NPI 1457026932
  NPD

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

• Bay County Health System, LLC

  dba Ascension Sacred Heart Bay

  • General Acute Care Hospital
  • Panama City, FL
  • NPI 1720078041
  Care Compare affiliation
• Florida Health Sciences Center Inc

  dba Tampa General Hospital

  • General Acute Care Hospital
  • Tampa, FL
  • NPI 1235196510
  Care Compare affiliation
• Sacred Heart Health System, Inc.

  dba Ascension Sacred Heart Pensacola

  • General Acute Care Hospital
  • Pensacola, FL
  • NPI 1922032424
  Care Compare affiliation
• St John Medical Center Inc

  • General Acute Care Hospital
  • Tulsa, OK
  • NPI 1154417368
  Care Compare affiliation
• St John Medical Center Inc

  • Rehabilitation Hospital Unit
  • Tulsa, OK
  • NPI 1578656161
  Care Compare affiliation
• Tampa General Hospital Hernando LLC

  dba Tampa General Hospital Brooksville

  • General Acute Care Hospital
  • Brooksville, FL
  • NPI 1063294197
  Care Compare affiliation
• Tampa General Hospital Hernando, LLC

  dba Tampa General Hospital Spring Hill

  • General Acute Care Hospital
  • Spring Hill, FL
  • NPI 1275305013
  Care Compare affiliation

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

{
    "created_epoch": "1237766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1437390390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5416 TYBEE ISLAND DR",
            "city": "APOLLO BEACH",
            "state": "FL",
            "postal_code": "335723307",
            "telephone_number": "813-928-7954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 UTAH AVE STE 200",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902454817",
            "telephone_number": "424-290-8004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVANCSITS",
        "first_name": "DOUGLAS",
        "middle_name": "PETER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-23",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME110379",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "012100700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• La'Akea Iseri
• Kaysee Lynn Ishman
• Wendy Isidoro
• Fatuma Ismail
• Hodan Ismail
• Trinity Iverson
• Evelynn Ivey
• Vanessa Jacinto
• Ashley Jackson
• Cleavona Jackson

• Diagnostic Radiology Physician in El Segundo, CA
• Providers in El Segundo, CA by specialty
• Diagnostic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2025; 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.