SUSAN I IVANCEVICH M.D.
NPI 1740223809
Radiology - Diagnostic Radiology in Indianapolis, IN

Active since June 14, 2006
7340 SHADELAND STA, SUITE 200, INDIANAPOLIS, IN 46256(317) 806-8260(317) 806-8296 Get Directions Write a Review

NPPES record last updated: November 14, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Susan I Ivancevich M.d. NPPES

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

SUSAN I IVANCEVICH M.D. (NPI 1740223809) is an individual diagnostic radiology provider in Indianapolis, Indiana, licensed in Indiana (01043743A) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1740223809
Entity TypeIndividualFemale
Primary Taxonomy2085R0202X
Provider Legal NameSUSAN I IVANCEVICHCredential: M.D.
Location Address7340 SHADELAND STA, SUITE 200Indianapolis, IN 46256-3979
Mailing Address7340 Shadeland Sta, Suite 200Indianapolis, IN 46256-3979 · (317) 806-8260 · Fax (317) 806-8296
Fax(317) 806-8296
Sole ProprietorNo
Enumeration DateJune 14, 2006
Last NPPES UpdateNovember 14, 2014
NPI 1740223809 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 IN · 01043743A
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
7340 SHADELAND STA, Indianapolis, IN 46256

Other Identifiers 5

Medicaid200047420IN
Medicare PIN822400011IN
Other000000208329IN · Anthem
Medicare PIN176470VIN
Medicare UPING07769

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.

Radiology (Diagnostic Radiology)
7340 SHADELAND STA, SUITE 200
INDIANAPOLIS, IN 46256
Radiology (Diagnostic Radiology)
7340 SHADELAND STA, SUITE 200
INDIANAPOLIS, IN 46256
Radiology (Diagnostic Radiology)
7340 SHADELAND STA, SUITE 200
INDIANAPOLIS, IN 46256
Radiology (Diagnostic Radiology)
7340 SHADELAND STA, SUITE 200
INDIANAPOLIS, IN 46256
Radiology (Diagnostic Radiology)
7340 SHADELAND STA, SUITE 200
INDIANAPOLIS, IN 46256
Physician Assistant (Medical)
7340 SHADELAND STA, SUITE 200
INDIANAPOLIS, IN 46256
Radiology (Diagnostic Radiology)
7340 SHADELAND STA, SUITE 200
INDIANAPOLIS, IN 46256
Radiology (Diagnostic Radiology)
7340 SHADELAND STA, SUITE 200
INDIANAPOLIS, IN 46256

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 Susan Ivancevich's NPI number?

The NPI number for Susan Ivancevich is 1740223809. It was assigned to this individual provider in the NPPES registry on June 14, 2006.

Where is Susan Ivancevich located?

Susan Ivancevich practices at 7340 Shadeland Sta Suite 200, Indianapolis, IN 46256. The listed phone number is (317) 806-8260.

What is Susan Ivancevich's specialty?

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

When was this NPI record last updated?

The NPPES record for Susan Ivancevich was last updated on November 14, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.