Individual provider Active NPI

Denisa Ivan, CAA

  • Anesthesiologist Assistant
  • Dublin, OH
National Provider Identifier
1831060227
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiologist AssistantTaxonomy code 367H00000X
License
67.000575 Issued in OH
Practice address
5005 Parkcenter Ave
Dublin, OH 43017-3582
Phone
(614) 932-9548
NPI assigned
Sep 17, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiologist AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 367H00000X 67.000575 OH Primary

Addresses

Primary practice location

5005 Parkcenter Ave
Dublin, OH 43017-3582

Mailing address

32624 Greenwood Dr
Avon Lake, OH 44012-1626
Phone (440) 787-7772

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251001002621 OH Practitioner - Anesthesiology Assistant 5193221869 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Group Practice IncGroup PAC ID 1254245137, 396 clinicians

Practice addresses (Care Compare)

6520 W Campus Oval
New Albany, OH 43054-8726
Phone (614) 413-2233

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Associate of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Group Practice, Inc Single Specialty CurrentSince Oct 1, 2025 Accepting new patients

Locations

5005 Parkcenter Ave
Dublin, OH 43017
Phone (614) 932-9548

10500 Montgomery Rd
Montgomery, OH 45242
Phone (513) 557-3206

6520 W Campus Oval
New Albany, OH 43054
Phone (614) 413-2233

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1758067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761264000000",
    "number": "1831060227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32624 GREENWOOD DR",
            "city": "AVON LAKE",
            "state": "OH",
            "postal_code": "440121626",
            "telephone_number": "440-787-7772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5005 PARKCENTER AVE",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430173582",
            "telephone_number": "614-932-9548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVAN",
        "first_name": "DENISA",
        "credential": "CAA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-17",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiologist Assistant",
            "state": "OH",
            "license": "67.000575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.