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DR. ILYA IVANOV DO
NPI 1487848149
Psychiatry & Neurology - Psychiatry in Mount Laurel, NJ

Active since September 05, 2007PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
100 CENTURY PKWY STE 350, MOUNT LAUREL, NJ 08054(856) 482-9000(856) 482-1159 Get Directions Write a Review

NPPES record last updated: March 14, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Ilya Ivanov Do NPPES

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

DR. ILYA IVANOV DO (NPI 1487848149) is an individual psychiatry provider in Mount Laurel, New Jersey, licensed in New Jersey (025MB8329500) and active in the NPI registry since September 2007. He is enrolled in Medicare PECOS, is affiliated with Jefferson Stratford Hospital, and is a graduate of Rowan University School Of Osteopathic Medicine (2005).

NPPES Registry Identity

NPI1487848149
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. ILYA IVANOVCredential: DO
Location Address100 CENTURY PKWY STE 350Mount Laurel, NJ 08054-1149
Mailing Address100 Century Pkwy Ste 350Mount Laurel, NJ 08054-1149 · (856) 482-9000 · Fax (856) 482-1159
Phone(856) 482-9000
Fax(856) 482-1159
Sole ProprietorNo
Medical School CMSRowan University School Of Osteopathic MedicineGraduated 2005
Enumeration DateSeptember 5, 2007
Last NPPES UpdateMarch 14, 2024
NPPES CertifiedMarch 14, 2024
✔ NPI 1487848149 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in NJ · 025MB8329500
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
100 CENTURY PKWY STE 350, Mount Laurel, NJ 08054
Open in Google Maps ↗

Other Identifiers 2

OtherP00772213NJ · Railroad Medicare
Medicaid0211699NJ

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. Ilya 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 ID3476691981
PECOS Enrollment IDI20091103000470
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
246 services43 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
33 services33 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
29 services29 patients

Hospital Affiliations CMS Care Compare

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

Jefferson Stratford Hospital

Acute Care Hospitals · Stratford, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310086
Location18 East Laurel RoadStratford, NJ 08084 · Camden County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08054 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
$185.05 typical visit price
range $61.59 – $185.05
Typical copayment $46.26 (range $15.39 – $46.26)
Most-billed visit code 99205
Established Patient
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

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.

DR. LUKE HANSEN
Psychiatry & Neurology (Psychiatry)
100 CENTURY PKWY STE 350
MOUNT LAUREL, NJ 08054
Burlington County (856) 482-9000
STEPHANIE ANN ROGERS APN
Nurse Practitioner (Psychiatric/Mental Health)
100 CENTURY PKWY STE 350
MOUNT LAUREL, NJ 08054
Burlington County (609) 712-0796
DR. MICHAEL J. FRIEDMAN D.O.
Psychiatry & Neurology (Psychiatry)
100 CENTURY PKWY STE 350
MOUNT LAUREL, NJ 08054
Burlington County (856) 482-9000
DR. HELEN H. YI M.D.
Psychiatry & Neurology (Psychiatry)
100 CENTURY PKWY STE 350
MOUNT LAUREL, NJ 08054
Burlington County (856) 482-9000
SALVATORE MONTANA MESSINA DO
Psychiatry & Neurology (Psychiatry)
100 CENTURY PKWY STE 350
MOUNT LAUREL, NJ 08054
Burlington County (856) 482-9000
CHRISTIE SLEIGHER RICHARDSON DO
Psychiatry & Neurology (Psychiatry)
100 CENTURY PKWY STE 350
MOUNT LAUREL, NJ 08054
Burlington County (404) 889-4990
DR. JAMES J. ROGERS D.O.
Psychiatry & Neurology (Psychiatry)
100 CENTURY PKWY STE 350
MOUNT LAUREL, NJ 08054
Burlington County (856) 482-9000
MAXCY O AFRIYIE PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
100 CENTURY PKWY STE 350
MOUNT LAUREL, NJ 08054
Burlington County (856) 482-9000

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 Ilya Ivanov's NPI number?

The NPI number for Ilya Ivanov is 1487848149. It was assigned to this individual provider in the NPPES registry on September 5, 2007.

Where is Ilya Ivanov located?

Ilya Ivanov practices at 100 Century Pkwy Ste 350, Mount Laurel, NJ 08054. The listed phone number is (856) 482-9000.

What is Ilya Ivanov's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Ilya Ivanov enrolled in Medicare?

Yes. Ilya 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.

Is Ilya Ivanov affiliated with any hospitals?

According to CMS data, Ilya Ivanov is affiliated with Jefferson Stratford Hospital.

When was this NPI record last updated?

The NPPES record for Ilya Ivanov was last updated on March 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.