Dennis W Ivill, MD

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

MD042916L Issued in PA

Practice address

1501 Lansdowne Ave Ste 303
Darby, PA 19023-1333

Phone

(215) 334-3869

Fax

(215) 755-3300

NPI assigned

May 19, 2006

Last updated

Aug 13, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in PA

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

Physical Medicine and Rehabilitation

Education

Temple University School of Medicine, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

PA Rehab Associates PCGroup PAC ID 2961390422, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• PA Rehab Associates PC

  • Physical Medicine & Rehabilitation Physician
  • Philadelphia, PA
  • NPI 1316902885
  Medicare reassignment Care Compare group NPD
• Tara Lyn Cuda DO PC

  • Internal Medicine Physician
  • Philadelphia, PA
  • NPI 1588613988
  NPD (past)

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407888000000",
    "number": "1982658563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 SOUTH AVE APT D8",
            "city": "SECANE",
            "state": "PA",
            "postal_code": "190184426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 LANSDOWNE AVE STE 303",
            "city": "DARBY",
            "state": "PA",
            "postal_code": "190231333",
            "telephone_number": "215-334-3869",
            "fax_number": "215-755-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVILL",
        "first_name": "DENNIS",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2014-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PA",
            "license": "MD042916L",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NJ",
            "license": "25MA07886000",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3740103",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0425300",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC",
            "identifier": "0119006000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Inaayas Touch Home Care LLC
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• Brianna Ingemi
• Sabah Iqbal, MD
• Usman Bashir Ahmed Itoo, M.D
• Betsy A Izes, M.D.
• Jace Home Healthcare Services LLC
• Iranell Jacobs
• Thomas Jasinski
• Erica Jaskelewicz, MS.CCC-SLP

• Physical Medicine & Rehabilitation Physician in Darby, PA
• Providers in Darby, PA by specialty
• Physical Medicine & Rehabilitation Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2014; 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.