SAMUEL J IVAN MD
NPI 1902366222
Urology in Philadelphia, PA
About Samuel J Ivan Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMUEL J IVAN MD (NPI 1902366222) is an individual urology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD485277) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with Temple Health - Chestnut Hill Hospital, and is a graduate of University Of Toledo College Of Medicine (2019).
NPPES Registry Identity
Specialties & Licenses
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
Samuel J Ivan Md 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.
Medicare Billing Reassignments
2Medicare enrollment records show Samuel Ivan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Philadelphia, PA 19111
- Reassigned Medicare billing, Pennsylvania and New Jersey enrollments
- Also billed through NPI 1407638794 (New Jersey)
- 1,991 clinicians in this Medicare group
Voorhees, NJ 08043
- Reassigned Medicare billing, New Jersey enrollment
- 9 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Temple Health - Chestnut Hill Hospital
Acute Care Hospitals · Philadelphia, PATemple University Hospital
Acute Care Hospitals · Philadelphia, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19111 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
PHILADELPHIA, PA 19111
PHILADELPHIA, PA 19111
PHILADELPHIA, PA 19111
PHILADELPHIA, PA 19111
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 Samuel Ivan's NPI number?
The NPI number for Samuel Ivan is 1902366222. It was assigned to this individual provider in the NPPES registry on March 22, 2019.
Where is Samuel Ivan located?
Samuel Ivan practices at 333 Cottman Ave, Philadelphia, PA 19111. The listed phone number is (215) 728-6900.
What is Samuel Ivan's specialty?
The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.
Is Samuel Ivan enrolled in Medicare?
Yes. Samuel Ivan 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 Samuel Ivan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Ivan reassigns Medicare benefits to 2 organizations: Temple Faculty Practice Plan, Inc (Philadelphia, PA) and Temple Health Physicians, P.C. (Voorhees, NJ). 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 Samuel Ivan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Samuel Ivan affiliated with any hospitals?
According to CMS data, Samuel Ivan is affiliated with Temple Health - Chestnut Hill Hospital and Temple University Hospital.
When was this NPI record last updated?
The NPPES record for Samuel Ivan was last updated on January 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Samuel J Ivan, MD · NPI 1902366222
Urology physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since March 22, 2019.
## Identity
- **NPI:** 1902366222 (Entity type: Individual)
- **Enumerated:** March 22, 2019
- **Primary specialty:** Urology · taxonomy 208800000X
- **State license:** MD485277 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 333 COTTMAN AVE, Philadelphia, PA 19111-2434
- **Phone:** (215) 728-6900
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Temple Faculty Practice Plan, Inc (NPI 1093298887, Philadelphia, PA); Temple Health Physicians, P.C. (NPI 1518755222, Voorhees, NJ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Toledo College Of Medicine, class of 2019
## Record status
- **NPPES last updated:** January 27, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1902366222) · Data from the CMS NPPES public registry.