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IVAN IVANOV DO
NPI 1487281176
Emergency Medicine in River Forest, IL

Active since March 24, 2020PECOS EnrolledAccepts Medicare Assignment
1516 FRANKLIN AVE, RIVER FOREST, IL 60305(773) 909-3741 Get Directions Write a Review

NPPES record last updated: May 5, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 5, 2026, Mar 24, 2020 (2 updates tracked since 2020).

About Ivan Ivanov Do NPPES

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

IVAN IVANOV DO (NPI 1487281176) is an individual emergency medicine provider in River Forest, Illinois, licensed in New York (336058) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, is affiliated with South Brooklyn Health, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1487281176
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameIVAN IVANOVCredential: DO
Location Address1516 FRANKLIN AVERiver Forest, IL 60305-1043
Mailing Address1516 Franklin AveRiver Forest, IL 60305-1043 · (773) 909-3741
Phone(773) 909-3741
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 24, 2020
Last NPPES UpdateMay 5, 20262 updates tracked since enumeration
NPPES CertifiedMay 5, 2026
✔ NPI 1487281176 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in NY · 336058
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedEmergency Medicine · Medical ToxicologyTaxonomy 207PT0002X · License 336058 (NY)
1516 FRANKLIN AVE, River Forest, IL 60305
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ivan Ivanov Do 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 ID143722199
PECOS Enrollment IDI20250908003523
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Ivan Ivanov reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Physician Affiliate Group Of New York PC
725 mi
Dietitian, Registered
506 LENOX AVE
New York, NY 10037
  • Reassigned Medicare billing, New York enrollment
  • 2,094 clinicians in this Medicare group
NPI 1013375526 (212) 939-2467
Sbh Physicians, PC
727 mi
Internal Medicine
4422 THIRD AVENUE, BRAKER BUILDING
Bronx, NY 10457
  • Reassigned Medicare billing, New York enrollment
  • 256 clinicians in this Medicare group
NPI 1740595917 (718) 960-9000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 2

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

South Brooklyn Health

Acute Care Hospitals · Brooklyn, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number330196
Location2601 Ocean ParkwayBrooklyn, NY 11235 · Kings County
Emergency services Birthing friendly

St Barnabas Hospital

Acute Care Hospitals · Bronx, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330399
Location4422 Third AvenueBronx, NY 10457 · Bronx County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60305 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Ivanov's NPI number?

The NPI number for Ivan Ivanov is 1487281176. It was assigned to this individual provider in the NPPES registry on March 24, 2020.

Where is Ivan Ivanov located?

Ivan Ivanov practices at 1516 Franklin Ave, River Forest, IL 60305. The listed phone number is (773) 909-3741.

What is Ivan Ivanov's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Ivan Ivanov enrolled in Medicare?

Yes. Ivan Ivanov 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.

Which organizations bill Medicare for Ivan Ivanov's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ivan Ivanov reassigns Medicare benefits to 2 organizations: Physician Affiliate Group Of New York PC (New York, NY) and Sbh Physicians, PC (Bronx, NY). Each 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 Ivan Ivanov's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Ivan Ivanov affiliated with any hospitals?

According to CMS data, Ivan Ivanov is affiliated with South Brooklyn Health and St Barnabas Hospital.

When was this NPI record last updated?

The NPPES record for Ivan Ivanov was last updated on May 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.