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IVAN GOLUB
NPI 1063974996
Student in an Organized Health Care Education/Training Program in Boston, MA

Active since April 01, 2019PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: May 29, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ivan Golub NPPES

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

IVAN GOLUB (NPI 1063974996) is an individual student in an organized health care education/training program in Boston, Massachusetts and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Brigham And Women's Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1063974996
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameIVAN GOLUB
Location Address55 FRUIT STBoston, MA 02114-2621
Mailing AddressMaimonides Medical Center, 4802 10th AveBrooklyn, NY 11219
Phone(617) 726-9111
Sole ProprietorYes
Medical School CMSRutgers, Robert Woood Johnson Medical SchoolGraduated 2019
Enumeration DateApril 1, 2019
Last NPPES UpdateMay 29, 2024
NPPES CertifiedMay 29, 2024
✔ NPI 1063974996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 1018314 (MA)
55 FRUIT ST, Boston, MA 02114
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1Maimonides Medical Center, 4802 10th AveBrooklyn, NY 11219 · Phone (718) 283-6000
Location 275 Francis StBoston, MA 02115-6110 · Phone (617) 732-5500

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ivan Golub is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4880924794
PECOS Enrollment IDI20240813004017, I20251001000166
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
23 services12 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Brigham And Women's Hospital

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220110
Location75 Francis StreetBoston, MA 02115 · Suffolk County
Emergency services Birthing friendly

Maimonides Medical Center

Acute Care Hospitals · Brooklyn, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330194
Location4802 Tenth AvenueBrooklyn, NY 11219 · Kings County
Emergency services Birthing friendly

Kings County Hospital Center

Acute Care Hospitals · Brooklyn, NY
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number330202
Location451 Clarkson AvenueBrooklyn, NY 11203 · Kings County
Emergency services Birthing friendly

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.

STUTI GIRISH SHROFF MD, MBBS
Pathology (Anatomic Pathology)
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (617) 726-2971
NANCY WANG M.D.
Internal Medicine (Hematology & Oncology)
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (017) 724-4000
DR. DUSAN HANIDZIAR M.D., PH.D.
Anesthesiology
55 FRUIT ST, GRAY-BIGELOW 444
BOSTON, MA 02114
Suffolk County (617) 726-3030
JOHN JOSEPH DANKO DO
Physical Medicine & Rehabilitation
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (617) 726-2000
DR. MICHAEL ANDREW LOBRITZ M.D, PH.D.
Internal Medicine (Infectious Disease)
55 FRUIT ST, DIVISION OF INFECTIOUS DISEASE, GRJ-504
BOSTON, MA 02114
Suffolk County (617) 724-9248
MS. KELLY ELISHA TRECARTIN NP
Nurse Practitioner (Acute Care)
55 FRUIT ST, BIGALOW 852 F
BOSTON, MA 02114
Suffolk County (617) 726-7400
JAMIE MARIE ALLEN NP
Nurse Practitioner
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (617) 724-4410
DR. DHAVAL SANJEEV KOLTE M.B.B.S., PH.D.
Internal Medicine (Cardiovascular Disease)
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (617) 643-3238

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 Ivan Golub's NPI number?

The NPI number for Ivan Golub is 1063974996. It was assigned to this individual provider in the NPPES registry on April 1, 2019.

Where is Ivan Golub located?

Ivan Golub practices at 55 Fruit St, Boston, MA 02114. The listed phone number is (617) 726-9111.

What is Ivan Golub's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Ivan Golub enrolled in Medicare?

Yes. Ivan Golub is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Ivan Golub affiliated with any hospitals?

According to CMS data, Ivan Golub is affiliated with Brigham And Women's Hospital, Maimonides Medical Center and Kings County Hospital Center.

When was this NPI record last updated?

The NPPES record for Ivan Golub was last updated on May 29, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.