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DR. IVAN LUPOV M.D.
NPI 1942657747
Emergency Medicine in Indianapolis, IN

Active since May 21, 2016PECOS EnrolledAccepts Medicare Assignment
1701 N SENATE BLVD, IUSOM DEPARTMENT OF EMERGENCY MEDICINE, ROOM AG012, INDIANAPOLIS, IN 46202(317) 962-5975 Get Directions Write a Review

NPPES record last updated: February 15, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 15, 2019, May 21, 2016 (2 updates tracked since 2016).

About Dr. Ivan Lupov M.d. NPPES

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

DR. IVAN LUPOV M.D. (NPI 1942657747) is an individual emergency medicine provider in Indianapolis, Indiana, licensed in Indiana (11018664A) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS, is affiliated with Indiana University Health Bloomington Hospital, and is a graduate of Indiana University School Of Medicine (2016).

NPPES Registry Identity

NPI1942657747
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. IVAN LUPOVCredential: M.D.
Location Address1701 N SENATE BLVD, IUSOM DEPARTMENT OF EMERGENCY MEDICINE, ROOM AG012Indianapolis, IN 46202-1239
Mailing Address5034 N Capitol AveIndianapolis, IN 46208-3405 · (812) 322-1487
Phone(317) 962-5975
Sole ProprietorYes
Medical School CMSIndiana University School Of MedicineGraduated 2016
Enumeration DateMay 21, 2016
Last NPPES UpdateFebruary 15, 20192 updates tracked since enumeration
✔ NPI 1942657747 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in IN · 11018664A
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1701 N SENATE BLVD, Indianapolis, IN 46202
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

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. Ivan Lupov M.d. 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 ID8224329271
PECOS Enrollment IDI20190829000846
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 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
217 services209 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
126 services125 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
50 services47 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
32 services32 patients

Hospital Affiliations CMS Care Compare 3

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

Indiana University Health Bloomington Hospital

Acute Care Hospitals · Bloomington, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150051
Location2651 East Discovery ParkwayBloomington, IN 47408 · Monroe County
Emergency services Birthing friendly

Indiana University Health Paoli Hospital

Critical Access Hospitals · Paoli, IN
OwnershipVoluntary non-profit - Private
CMS Certification Number151306
Location642 W Hospital RdPaoli, IN 47454 · Orange County
Emergency services Birthing friendly

Indiana University Health Bedford Hospital

Critical Access Hospitals · Bedford, IN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number151328
Location2900 W 16th StBedford, IN 47421 · Lawrence County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46202 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
Most-billed visit code 99214
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.

THOMAS M DONAHUE MD
Anesthesiology
1701 N SENATE BLVD
INDIANAPOLIS, IN 46202
Marion County (317) 577-4200
DR. GINA MARIE DIANTONIO SWARTZEL M.D.
Emergency Medicine
1701 N SENATE BLVD, B401
INDIANAPOLIS, IN 46202
Marion County (317) 962-5975
NASER A KAFEEL DO
Internal Medicine
1701 N SENATE BLVD
INDIANAPOLIS, IN 46202
Marion County (317) 962-8776
ZACHARY JARRETT DO
Internal Medicine (Critical Care Medicine)
1701 N SENATE BLVD
INDIANAPOLIS, IN 46202
Marion County (317) 962-5820
BARBRA A BACHMEIER NP
Nurse Practitioner (Family)
1701 N SENATE BLVD, RM AG 001
INDIANAPOLIS, IN 46202
Marion County (317) 962-3886
MARK H HOYER MD
Pediatrics (Pediatric Cardiology)
1701 N SENATE BLVD
INDIANAPOLIS, IN 46202
Marion County (317) 678-3900
SHALINI K MANCHANDA MD
Internal Medicine (Sleep Medicine)
1701 N SENATE BLVD
INDIANAPOLIS, IN 46202
Marion County (888) 484-3258
SEAN DAVID GUSSICK MD
Radiology (Diagnostic Radiology)
1701 N SENATE BLVD, RADIOLOGY DEPT
INDIANAPOLIS, IN 46202
Marion County (317) 962-5740

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 Ivan Lupov's NPI number?

The NPI number for Ivan Lupov is 1942657747. It was assigned to this individual provider in the NPPES registry on May 21, 2016.

Where is Ivan Lupov located?

Ivan Lupov practices at 1701 N Senate Blvd Iusom Department Of Emergency Medicine, Room Ag012, Indianapolis, IN 46202. The listed phone number is (317) 962-5975.

What is Ivan Lupov's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Ivan Lupov enrolled in Medicare?

Yes. Ivan Lupov 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.

What insurance does Ivan Lupov accept?

Health plans from CareSource list Ivan Lupov as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Ivan Lupov affiliated with any hospitals?

According to CMS data, Ivan Lupov is affiliated with Indiana University Health Bloomington Hospital, Indiana University Health Paoli Hospital and Indiana University Health Bedford Hospital.

When was this NPI record last updated?

The NPPES record for Ivan Lupov was last updated on February 15, 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.