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NICOLE LUDMIL IVANOV MD
NPI 1003376534
Pediatrics in Charlotte, NC

Active since March 21, 2019PECOS Enrolled
9908 COULOAK DR, STE 103, CHARLOTTE, NC 28216(704) 801-2025 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 15, 2024, May 4, 2023, Mar 9, 2023 and 6 more (9 updates tracked since 2019).

About Nicole Ludmil Ivanov Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLE LUDMIL IVANOV MD (NPI 1003376534) is an individual pediatrics provider in Charlotte, North Carolina, licensed in North Carolina (2022-01947) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003376534
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameNICOLE LUDMIL IVANOVCredential: MD
Location Address9908 COULOAK DR, STE 103Charlotte, NC 28216-8678
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Phone(704) 801-2025
Sole ProprietorNo
Enumeration DateMarch 21, 2019
Last NPPES UpdateJuly 15, 20249 updates tracked since enumeration
NPPES CertifiedJuly 28, 2022
✔ NPI 1003376534 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NC · 2022-01947
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
9908 COULOAK DR, Charlotte, NC 28216
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Ludmil Ivanov Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28216 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOSEPH PINCKNEY JR. MD
Family Medicine
9908 COULOAK DR, STE 202
CHARLOTTE, NC 28216
Mecklenburg County (704) 801-3050
ROXANNE DENISE SEMPLE MD
Pediatrics
9908 COULOAK DR, STE 103
CHARLOTTE, NC 28216
Mecklenburg County (704) 801-2025
MARLAR ANNE VOLLBRECHT FNP
Nurse Practitioner (Family)
9908 COULOAK DR, STE 202
CHARLOTTE, NC 28216
Mecklenburg County (704) 801-3050
MOLLI RENE DUTT LOISELLE OT
Occupational Therapist
9908 COULOAK DR, STE 100
CHARLOTTE, NC 28216
Mecklenburg County (704) 801-3065
KELLEY HOWARD ROUSE MD
Obstetrics & Gynecology
9908 COULOAK DR, STE 201
CHARLOTTE, NC 28216
Mecklenburg County (704) 801-2075
HOLLIE CHAMPION GOLDBERG
Physical Therapist
9908 COULOAK DR
CHARLOTTE, NC 28216
Mecklenburg County (704) 801-3065
LAURA TUMBLIN ELHAGE MD
Pediatrics
9908 COULOAK DR, STE 103
CHARLOTTE, NC 28216
Mecklenburg County (704) 801-2025
RIVERBEND FAMILY PHYSICIANS
Family Medicine
9908 COULOAK DR, STE 202
CHARLOTTE, NC 28216
Mecklenburg County (704) 801-3050

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Ivanov's NPI number?

The NPI number for Nicole Ivanov is 1003376534. It was assigned to this individual provider in the NPPES registry on March 21, 2019.

Where is Nicole Ivanov located?

Nicole Ivanov practices at 9908 Couloak Dr Ste 103, Charlotte, NC 28216. The listed phone number is (704) 801-2025.

What is Nicole Ivanov's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Nicole Ivanov enrolled in Medicare?

Yes. Nicole Ivanov is registered in the Medicare PECOS enrollment system.

What insurance does Nicole Ivanov accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and BlueCross BlueShield of South Carolina and 3 other insurers list Nicole Ivanov as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nicole Ivanov was last updated on July 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.