DR. RADA IVANOV (M.D.) – Critical Care Medicine (Internal Medicine) Physician, NPI 1790782613
Critical Care Medicine (Internal Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
955 CRITICAL CARE (INTENSIVISTS) in IL
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Provider Addresses for DR. RADA IVANOV (M.D.)
5600, West Addison Street, Martin Luther, Portage Park, Chicago, Jefferson Township, Cook County, Illinois, 60634, United States
SUITE 304
CHICAGO, IL 606344401
Phone: (773) 481-1570
Fax: (773) 481-0547
Type: Mailing
11109 Parkview Plaza Dr
Fort Wayne, IN 468451701
Phone: (260) 266-2020
Fax: (260) 458-5355
Type: Location
2300 N Edward St
Decatur, IL 625264192
Phone: (217) 876-4200
Fax: (217) 876-4209
Type: Location
302 W Hay St Ste 110
Decatur, IL 625264167
Phone: (217) 876-4200
Fax: (217) 876-4209
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $32.
Total Amount is formed as General ($32) + Research ($0) + Ownership ($0) = $32.
Last reported payment date: 2024-10-30 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($32).
Total Amount
$32
General + Research + Ownership
Payments
1
Total payment records
General Amount
$32
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $32 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2023-11-20
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100512000916 | I | Pulmonary Disease | IL | TBD |
| I20230103000390 | I | Pulmonary Disease | GU | TBD |
| I20231120000261 | I | Critical Care (Intensivists) | VI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 68 | 19 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 38 | 38 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 28 | 27 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 28 | 26 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 19 | 19 | $0 |
Insurance plans in this area (ZIP 60634)
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Group practice members
- 1
- 2
- 3
| Name | Specialty | State |
|---|---|---|
| - | PA | |
| - | MI | |
| Internal Medicine | NY | |
| - | WA | |
| Emergency Medicine | IL | |
| - | FL | |
| Emergency Medicine | GA | |
| - | FL | |
| Emergency Medicine | WI | |
| - | SC |
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