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VADIM ANATOLYEVICH IVANOV MD
NPI 1346577012
Pediatrics - Neonatal-Perinatal Medicine in Oklahoma City, OK

Active since November 17, 2009PECOS Enrolled
1200 EVERETT DR, 7FNP, OKLAHOMA CITY, OK 73104(405) 271-5215(405) 271-1236 Get Directions Write a Review

NPPES record last updated: January 26, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Vadim Anatolyevich Ivanov Md NPPES

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

VADIM ANATOLYEVICH IVANOV MD (NPI 1346577012) is an individual neonatal-perinatal medicine provider in Oklahoma City, Oklahoma, licensed in Oklahoma (27513) and active in the NPI registry since November 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1346577012
Entity TypeIndividualMale
Primary Taxonomy2080N0001X
Provider Legal NameVADIM ANATOLYEVICH IVANOVCredential: MD
Location Address1200 EVERETT DR, 7FNPOklahoma City, OK 73104-5047
Mailing Address1200 Everett Dr, 7fnpOklahoma City, OK 73104-5047 · (405) 271-5215 · Fax (405) 271-1236
Phone(405) 271-5215
Fax(405) 271-1236
Sole ProprietorNo
Enumeration DateNovember 17, 2009
Last NPPES UpdateJanuary 26, 2011
✔ NPI 1346577012 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 OK · 27513
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.
1200 EVERETT DR, Oklahoma City, OK 73104
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Medica, Mending Health.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)

Vadim Anatolyevich 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.

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.

GRETCHEN FATHERREE APRN, CNP-NNP
Nurse Practitioner (Neonatal)
1200 EVERETT DR, ETNP 7504
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-5215
LAUREN MCMULLAN PHARMD, BCPPS
Pharmacist (Pediatrics)
1200 EVERETT DR
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-8001
MARY ANNE MCCAFFREE MS
Pediatrics (Neonatal-Perinatal Medicine)
1200 EVERETT DR, 7TH FLOOR NORTH PAVILION
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-5215
MR. MICHAEL D MCCOY ARNP
Nurse Practitioner (Neonatal)
1200 EVERETT DR, 7TH FLOOR NP, NEONATAL SECTION, DEPT OF PEDIATRICS
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-5215
SAMUEL LEVIN M.D.
Pediatrics (Neonatal-Perinatal Medicine)
1200 EVERETT DR
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-5215
MRS. MELANIE REYNOLDS MS
Nurse Practitioner (Neonatal)
1200 EVERETT DR, 7TH FLOOR NORTH PAVILION
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-5215
MS. VICKIE MARIE BAILEY MD
Pediatrics (Neonatal-Perinatal Medicine)
1200 EVERETT DR, CHNP 7504
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-5215
LAUREN NICOLE WHITE DO
Pediatrics (Neonatal-Perinatal Medicine)
1200 EVERETT DR, CHNP 7504
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-5215

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 Vadim Ivanov's NPI number?

The NPI number for Vadim Ivanov is 1346577012. It was assigned to this individual provider in the NPPES registry on November 17, 2009.

Where is Vadim Ivanov located?

Vadim Ivanov practices at 1200 Everett Dr 7fnp, Oklahoma City, OK 73104. The listed phone number is (405) 271-5215.

What is Vadim Ivanov's specialty?

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

Is Vadim Ivanov enrolled in Medicare?

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

What insurance does Vadim Ivanov accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, Medica and Mending Health list Vadim 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 Vadim Ivanov was last updated on January 26, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.