Active NPI
Ivan Covas-Maldonado, M.D.
- Family Medicine Physician
- Saint Louis, MO
National Provider Identifier
1770554198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 24823
- Practice address
- 12647 Olive Blvd
Suite 600
Saint Louis, MO 63141-6345 - Phone
- (877) 685-9866
- NPI assigned
- Feb 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 24823 | WA | Primary |
Addresses
Primary practice location
12647 Olive Blvd
Suite 600
Saint Louis, MO 63141-6345
Mailing address
Hornillos 18
Estepa, SEVILLE 41560
ES
Phone 34955912928
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24823 | WA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1770554198",
"addresses": [
{
"country_code": "ES",
"country_name": "Spain",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "HORNILLOS 18",
"city": "ESTEPA",
"state": "SEVILLE",
"postal_code": "41560",
"telephone_number": "34955912928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12647 OLIVE BLVD",
"address_2": "SUITE 600",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631416345",
"telephone_number": "877-685-9866"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COVAS-MALDONADO",
"first_name": "IVAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-01",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "24823",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Louis, MO
- Roland Charles Cousins Jr.
- Sophia Couteranis
- Lilian Couto-Kelly, PMHNP
- Couts McAdam Osteopathic Family Medicine
- Couts McAdam Osteopathic Family Medicine,LLC
- Covenant Care in-Home Agency LLC.
- Covenant Consumer Directed Services LLC
- Covenant House Missouri
- Andrea Michele Coverstone, MD
- Edward David Coverstone, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.