1. Home
  2. Directory
  3. Michigan
  4. Ypsilanti
  5. Pediatrics
  6. NPI Profile

DR. JUDITH ANN IVACKO M.D.
NPI 1285693622
Pediatrics - Neonatal-Perinatal Medicine in Ypsilanti, MI

Active since March 23, 2006
5301 E HURON RIVER DR, YPSILANTI, MI 48197(734) 712-3325(734) 712-5525 Get Directions Write a Review

NPPES record last updated: October 14, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Judith Ann Ivacko M.d. NPPES

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

DR. JUDITH ANN IVACKO M.D. (NPI 1285693622) is an individual neonatal-perinatal medicine provider in Ypsilanti, Michigan, licensed in Michigan (43-01-058648) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1285693622
Entity TypeIndividualFemale
Primary Taxonomy2080N0001X
Provider Legal NameDR. JUDITH ANN IVACKOCredential: M.D.
Location Address5301 E HURON RIVER DRYpsilanti, MI 48197-1051
Mailing AddressPo Box 446Ann Arbor, MI 48106-0446
Phone(734) 712-3325
Fax(734) 712-5525
Sole ProprietorNo
Enumeration DateMarch 23, 2006
Last NPPES UpdateOctober 14, 2016
✔ NPI 1285693622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in MI · 43-01-058648
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
5301 E HURON RIVER DR, Ypsilanti, MI 48197
Open in Google Maps ↗

Other Identifiers 2

Medicare UPIN34064MI
Medicaid4282589MI

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.

BRETTON LEE SCHLOESSER M.D.
Internal Medicine
5301 E HURON RIVER DR
YPSILANTI, MI 48197
Washtenaw County (734) 712-8676
DR. KELLY PERRY APPLE M.D.
Internal Medicine
5301 E HURON RIVER DR
YPSILANTI, MI 48197
Washtenaw County (734) 712-8676
MR. DANIEL PATRICK DEFER P.A.-C
Physician Assistant (Surgical)
5301 E HURON RIVER DR
YPSILANTI, MI 48197
Washtenaw County (734) 712-5609
ERIN M PRENTICE NP
Nurse Practitioner
5301 E HURON RIVER DR
YPSILANTI, MI 48197
Washtenaw County (734) 712-8676
MS. MARLA BRIT MEADOR CRNA
Nurse Anesthetist, Certified Registered
5301 E HURON RIVER DR
YPSILANTI, MI 48197
Washtenaw County (734) 712-3456
MRS. MARTHA ANN LEVEQUE CRNA
Nurse Anesthetist, Certified Registered
5301 E HURON RIVER DR
YPSILANTI, MI 48197
Washtenaw County (734) 712-3840
DIVYA MAHESHWARI MD
Internal Medicine
5301 E HURON RIVER DR
YPSILANTI, MI 48197
Washtenaw County (737) 712-8676
DR. KRISTEN ALEXIS YEE M.D.
Internal Medicine
5301 E HURON RIVER DR
YPSILANTI, MI 48197
Washtenaw County (734) 712-8676

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 Judith Ivacko's NPI number?

The NPI number for Judith Ivacko is 1285693622. It was assigned to this individual provider in the NPPES registry on March 23, 2006.

Where is Judith Ivacko located?

Judith Ivacko practices at 5301 E Huron River Dr, Ypsilanti, MI 48197. The listed phone number is (734) 712-3325.

What is Judith Ivacko's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

When was this NPI record last updated?

The NPPES record for Judith Ivacko was last updated on October 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.