Thomas S Ivan, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

05-50713 Issued in KS

Practice address

7111 E 21St St N Ste a
Wichita, KS 67206-1078

Phone

(316) 684-2851

Fax

(316) 683-5239

NPI assigned

May 3, 2006

Last updated

Apr 10, 2025By 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 1

Other names 1

• T Steven Ivan Other name

Medicare fee-for-service enrollment

Enrolled in OK, KS2 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

Specialty

Family Practice

Education

Oklahoma State University College of Osteopathic Medicine, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Primary Care Associates LLCGroup PAC ID 1153235015, 13 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ascension at Home Home health agency, Wichita, KS, CCN 177117
• Interim Healthcare of Wichita Home health agency, Wichita, KS, CCN 177090
• Choice Health at Home - Southeastern Oklahoma Hospice Hospice, Ada, OK, CCN 371629

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/6925/brand/1/csg/1/fhir/r4
• Direct secure messaging: thomas.ivan.1@3862.direct.athenahealth.com
• Direct secure messaging: tivan262782@directa.mercy.net

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.

• Primary Care Associates, LLC

  • Family Medicine Physician
  • Wichita, KS
  • NPI 1003832403
  Medicare reassignment Care Compare group NPD
• Harvard Family Physicians P C

  • Family Medicine Physician
  • Tulsa, OK
  • NPI 1306891288
  Medicare reassignment NPD
• National Family Medical Associates, LLC

  dba VIPcare

  • Primary Care Clinic/Center
  • Tulsa, OK
  • NPI 1477287720

  Family Medicine

  Medicare reassignment NPD
• Strata Pathology Services Inc

  dba Stratadx

  • Clinical Medical Laboratory
  • Lexington, MA
  • NPI 1568011864
  NPD (past)
• Strata Pathology Services, Inc.

  dba Strata Diagnostics

  • Anatomic Pathology & Clinical Pathology Physician
  • Lexington, MA
  • NPI 1215942933
  NPD (past)

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

• Interim Health Care of Wichita Inc

  dba Interim Health Care

  • Home Health Agency
  • Wichita, KS
  • NPI 1548264229
  Care Compare affiliation
• Via Christi Home Health Wichita, LLC

  dba Ascension at Home

  • Home Health Agency
  • Wichita, KS
  • NPI 1235132119
  Care Compare affiliation
• Kindful Hospice Ada, LLC

  dba Choice Health at Home- Southeastern Oklahoma Hospice

  • Community Based Hospice Care Agency
  • Ada, OK
  • NPI 1396238143
  Care Compare affiliation

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744243200000",
    "number": "1992763411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7111 E 21ST ST N STE A",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672061078",
            "telephone_number": "316-684-2851",
            "fax_number": "316-683-5239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7111 E 21ST ST N STE A",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672061078",
            "telephone_number": "316-684-2851",
            "fax_number": "316-683-5239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVAN",
        "first_name": "THOMAS",
        "middle_name": "S",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "4082",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "05-50713",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200076860A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "T",
            "last_name": "IVAN",
            "middle_name": "STEVEN",
            "credential": "DO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Family Medicine Physician in Wichita, KS
• Providers in Wichita, KS by specialty
• Family Medicine Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.