DR. SIMONA IVANOV DDS
NPI 1861987752
Dentist - Dental Public Health in Tampa, FL

Q: What is Simona Ivanov's NPI number?

The NPI number for Simona Ivanov is 1861987752. It was assigned to this individual provider in the NPPES registry on June 25, 2018.

Q: What is Simona Ivanov's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Dental Public Health, with taxonomy code 1223D0001X.

Q: When was this NPI record last updated?

The NPPES record for Simona Ivanov was last updated on August 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since June 25, 2018PECOS Enrolled

302 W FLETCHER AVE, TAMPA, FL 33612(813) 866-0930(813) 405-3722 Get Directions Write a Review

NPPES record last updated: August 7, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 7, 2019, Oct 21, 2018, Jun 25, 2018 (3 updates tracked since 2018).

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About Dr. Simona Ivanov Dds NPPES

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

DR. SIMONA IVANOV DDS (NPI 1861987752) is an individual dental public health provider in Tampa, Florida, licensed in Florida (DN23345) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Clearwater, and is a graduate of University Of Minnesota School Of Dentistry (2018).

NPPES Registry Identity

NPI1861987752

Entity TypeIndividualFemale

Primary Taxonomy1223D0001X

Provider Legal NameDR. SIMONA IVANOVCredential: DDS

Location Address302 W FLETCHER AVETampa, FL 33612

Mailing Address302 W Fletcher AveTampa, FL 33612-3415 · (813) 866-0930 · Fax (813) 405-3722

Phone(813) 866-0930

Fax(813) 405-3722

Sole ProprietorNo

Medical School CMSUniversity Of Minnesota School Of DentistryGraduated 2018

Enumeration DateJune 25, 2018

Last NPPES UpdateAugust 7, 20193 updates tracked since enumeration

✔ NPI 1861987752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Dental Public HealthDental Providers

Taxonomy Code1223D0001X

License✔ Licensed in FL · DN23345

Definition

The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis.

302 W FLETCHER AVE, Tampa, FL 33612

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Secondary Practice Location 1

Location 11243 Lakeview RdClearwater, FL 33756-3587 · Phone (727) 443-7353 · Fax (727) 443-2144

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, BEST Life and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Simona Ivanov Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID547599102

PECOS Enrollment IDI20260304002081

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 Simona Ivanov reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Tampa Family Health Centers Inc

Same address

Community Health

302 W FLETCHER AVE
Tampa, FL 33612

Reassigned Medicare billing, Florida enrollment
145 clinicians in this Medicare group

NPI 1861535379 (813) 866-0930

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 33612 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

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.

MS. MARY BETH MCDERMOTT LCSW

Social Worker (Clinical)