DR. IVY EWALD MD
NPI 1376104315
Radiology - Diagnostic Radiology in San Francisco, CA

Q: What is Ivy Ewald's NPI number?

The NPI number for Ivy Ewald is 1376104315. It was assigned to this individual provider in the NPPES registry on June 20, 2019.

Q: What is Ivy Ewald's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Q: When was this NPI record last updated?

The NPPES record for Ivy Ewald was last updated on April 8, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 20, 2019PECOS EnrolledAccepts Medicare Assignment

1600 DIVISADERO ST RM C250, SAN FRANCISCO, CA 94143(415) 885-7464 Get Directions Write a Review

NPPES record last updated: April 8, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 8, 2025, Jul 16, 2024, Jun 20, 2019 (3 updates tracked since 2019).

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About Dr. Ivy Ewald Md NPPES

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

DR. IVY EWALD MD (NPI 1376104315) is an individual diagnostic radiology provider in San Francisco, California, licensed in California (A195481) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Un Of California, Irvine, College Of Medicine (2019).

NPPES Registry Identity

NPI1376104315

Entity TypeIndividualFemale

Primary Taxonomy2085R0202X

Provider Legal NameDR. IVY EWALDCredential: MD

Location Address1600 DIVISADERO ST RM C250San Francisco, CA 94143-3010

Mailing AddressPo Box 743749Los Angeles, CA 90074-3749

Phone(415) 885-7464

Sole ProprietorNo

Medical School CMSUn Of California, Irvine, College Of MedicineGraduated 2019

Enumeration DateJune 20, 2019

Last NPPES UpdateApril 8, 20253 updates tracked since enumeration

NPPES CertifiedApril 8, 2025

✔ NPI 1376104315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

License✔ Licensed in CA · A195481

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

1600 DIVISADERO ST RM C250, San Francisco, CA 94143

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Secondary Practice Locations 2

Location 1100 W California BlvdPasadena, CA 91105-3010 · Phone (626) 397-5000

Location 21001 Potrero Avenue, Bldg. 5, 1st Fl.San Francisco, CA 94110-3518 · Phone (628) 206-8020

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

Dr. Ivy Ewald Md 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 ID7810317146

PECOS Enrollment IDI20240729000512

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 3

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.

X-ray of chest, 1 view 71045

A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.

73 services61 patients

X-ray of abdomen, 1 view 74018

An X-ray of the abdomen, 1 view, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the structures in your abdomen, such as the stomach, liver, and intestines. This can help identify issues like blockages, infections, or injuries.

31 services22 patients

X-ray of chest, 2 views 71046

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94143 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

$104.51 typical visit price

range $69.00 – $202.35

Typical copayment $26.12 (range $17.25 – $50.58)

Most-billed visit code 99203

Established Patient

$84.91 typical visit price

range $23.44 – $166.46

Typical copayment $21.22 (range $5.86 – $41.61)

Most-billed visit code 99213

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 8

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

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