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IRENOSE IVBAZE MD, MPH
NPI 1639819089
Obstetrics & Gynecology in Boston, MA

Active since March 31, 2022PECOS Enrolled
800 WASHINGTON ST, BOSTON, MA 02111(617) 636-2229 Get Directions Write a Review

NPPES record last updated: April 26, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Irenose Ivbaze Md, Mph NPPES

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

IRENOSE IVBAZE MD, MPH (NPI 1639819089) is an individual obstetrics & gynecology provider in Boston, Massachusetts, licensed in Massachusetts (293408) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1639819089
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameIRENOSE IVBAZECredential: MD, MPH
Location Address800 WASHINGTON STBoston, MA 02111-1552
Mailing Address800 Washington StBoston, MA 02111-1552
Phone(617) 636-2229
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMarch 31, 2022
Last NPPES UpdateApril 26, 2023
NPPES CertifiedApril 26, 2023
✔ NPI 1639819089 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in MA · 293408
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
800 WASHINGTON ST, Boston, MA 02111
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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 (PECOS)

Irenose Ivbaze Md, Mph is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6204391659
PECOS Enrollment IDI20260716003674
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 Reassignment

Medicare enrollment records show Irenose Ivbaze reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Tanner Medical Group Inc
975 mi
Cardiovascular Disease
100 GREENWAY BLVD FL 2
Carrollton, GA 30117
  • Reassigned Medicare billing, Georgia enrollment
  • 232 clinicians in this Medicare group
NPI 1396979787 (770) 838-8710

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02111 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
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
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 20

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

AARON DICKSTEIN M.D.
Internal Medicine (Gastroenterology)
800 WASHINGTON ST, BOX 233
BOSTON, MA 02111
Suffolk County (617) 636-5883
THOMAS E BIGELOW
Technician/Technologist (Optician)
800 WASHINGTON ST, BOX 450
BOSTON, MA 02111
Suffolk County (617) 636-5857
SARAH MERRIMAN PERSING M.D.
Plastic Surgery
800 WASHINGTON ST
BOSTON, MA 02111
Suffolk County (617) 636-5000
DR. SHARANYA MOHANTY M.D.
Internal Medicine
800 WASHINGTON ST
BOSTON, MA 02111
Suffolk County (617) 636-5000
AFRAH SADIQ SAIT MOHAMMED M.D.
Internal Medicine (Infectious Disease)
800 WASHINGTON ST
BOSTON, MA 02111
Suffolk County (718) 629-7204
ADNAN SALIM QAMAR MD
Student in an Organized Health Care Education/Training Program
800 WASHINGTON ST
BOSTON, MA 02111
Suffolk County (617) 636-5829
ALICIA SIGIA WU MD
Psychiatry & Neurology (Psychiatry)
800 WASHINGTON ST
BOSTON, MA 02111
Suffolk County (617) 636-1619
ZEANAARONEVAN ANDRES LUNA
Student in an Organized Health Care Education/Training Program
800 WASHINGTON ST
BOSTON, MA 02111
Suffolk County (617) 636-8100

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 Irenose Ivbaze's NPI number?

The NPI number for Irenose Ivbaze is 1639819089. It was assigned to this individual provider in the NPPES registry on March 31, 2022.

Where is Irenose Ivbaze located?

Irenose Ivbaze practices at 800 Washington St, Boston, MA 02111. The listed phone number is (617) 636-2229.

What is Irenose Ivbaze's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Irenose Ivbaze enrolled in Medicare?

Yes. Irenose Ivbaze is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Irenose Ivbaze's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Irenose Ivbaze reassigns Medicare benefits to Tanner Medical Group Inc (Carrollton, GA). The 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 Irenose Ivbaze's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Irenose Ivbaze was last updated on April 26, 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.