Individual provider Active NPI

Stefan Alexandrov Ianchulev, MD

  • Anesthesiology Physician
  • Hilton Head Island, SC
National Provider Identifier
1871510446
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MD-55145 Issued in IA
Practice address
25 Hospital Center Blvd
Hilton Head Island, SC 29926-2793
Phone
(843) 681-6122
NPI assigned
Jul 17, 2006
Last updated
Jun 9, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 235292 MA
Anesthesiology Physician 207L00000X 93710 SC
Anesthesiology Physician 207L00000X MD-55145 IA Primary

Addresses

Primary practice location

25 Hospital Center Blvd
Hilton Head Island, SC 29926-2793

Mailing address

800 Washington St
Tufts Medical Center
Boston, MA 02111-1552
Phone (617) 636-6044

Other practice location 1

800 Washington St
Tufts Medical Center
Boston, MA 02111-1552
Phone (617) 636-6044

Other identifiers 1

IdentifierTypeStateIssuer
1871510446OtherNPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, IA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250421001349 SC Practitioner - Anesthesiology 6204732704 Reassigns benefits to 1 organization
I20250623001064 IA Practitioner - Anesthesiology 6204732704 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cep America - Anesthesia PCGroup PAC ID 3678897915, shared by 7 NPIs, 849 clinicians

Practice addresses (Care Compare)

1111 6TH Ave
Des Moines, IA 50314-2613
Phone (515) 247-3121

25 Hospital Ctr Blvd
Hilton Head, SC 29926-2738
Phone (843) 681-6122

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD-55145IAMDAnesthesiology Physician
235292MAMDAnesthesiology Physician
93710SCMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - Anesthesia PC Anesthesiology CurrentSince Jun 10, 2025 Accepting new patients
Cep America - Anesthesia PC Anesthesiology CurrentSince Mar 10, 2025 Accepting new patients
Cep America - Anesthesia PC Anesthesiology Current Accepting new patients
Cep America - Anesthesia PC Anesthesiology CurrentSince Mar 10, 2025 Accepting new patients

Locations

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

1111 6th Ave
Des Moines, IA 50314
Phone (515) 247-3121

1755 59th Pl
West Des Moines, IA 50266
Phone (515) 247-4240

25 Hospital Ctr
Hilton Head Island, SC 29926
Phone (843) 682-2345

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749427200000",
    "number": "1871510446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 WASHINGTON ST",
            "address_2": "TUFTS MEDICAL CENTER",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021111552",
            "telephone_number": "617-636-6044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 HOSPITAL CENTER BLVD",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299262793",
            "telephone_number": "843-681-6122"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Washington St",
            "address_2": "Tufts Medical Center",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021111552",
            "country_code": "US",
            "telephone_number": "617-636-6044",
            "fax_number": "617-636-8384",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IANCHULEV",
        "first_name": "STEFAN",
        "middle_name": "ALEXANDROV",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MA",
            "license": "235292",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "SC",
            "license": "93710",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IA",
            "license": "MD-55145",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1871510446",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilton Head Island, SC

Sources for this page

Verify at the official NPI Registry.