IVY MEDICAL ASSOCIATES INC
NPI 1306116041
Physical Medicine & Rehabilitation in Pasadena, CA
About Ivy Medical Associates Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
IVY MEDICAL ASSOCIATES INC (NPI 1306116041) is a healthcare organization registered as a physical medicine & rehabilitation in Pasadena, California and active in the NPI registry since January 2012. The organization lists Charise L Ivy, Ceo/president, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ivy Medical Associates Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Ivy Medical Associates Inc, which bills Medicare for the services this clinician delivers.
Clinician (1)
Glendale, CA 91206
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Ivy Medical Associates Inc's NPI number?
The NPI number for Ivy Medical Associates Inc is 1306116041. It was assigned to this organization in the NPPES registry on January 11, 2012.
Where is Ivy Medical Associates Inc located?
Ivy Medical Associates Inc is located at 2309 Paloma St, Pasadena, CA 91104. The listed phone number is (626) 808-5352.
What is Ivy Medical Associates Inc's specialty?
The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.
Is Ivy Medical Associates Inc enrolled in Medicare?
Yes. Ivy Medical Associates Inc is registered in the Medicare PECOS enrollment system.
When is Ivy Medical Associates Inc's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Ivy Medical Associates Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Medicine and Rehabilitation) reassigns their Medicare billing to Ivy Medical Associates Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Ivy Medical Associates Inc was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.