DR. RADA IVANOV (M.D.) – Critical Care Medicine (Internal Medicine) Physician, NPI 1790782613

DR. RADA IVANOV (M.D.) is a healthcare provider. based in Chicago, Illinois. specializing in CRITICAL CARE (INTENSIVISTS). They hold the professional credentials M.D.. They hold a License No. 036089071 (IL). The NPI Number for DR. RADA IVANOV (M.D.) is 1790782613

Main info

Female
36 Years Of Experience
Accepts Medicare Assignment
Name
DR. RADA IVANOV (M.D.)
NPI
1790782613
Phone
(773) 481-1570
Address
5600 W ADDISON ST
Enumeration Date
7 July 2005
Last Update Date
31 October 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1990 (36 years ago)
PAC ID
6709911480
Group Practice PAC ID
1153233804
Professional Enrollment ID
I20231120000261
Address ID
VI008204435ST4007XRUBY400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience87
Completeness75
Years active:20State licenses:3Digital endpointsOther names

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

View all Open Payments →|Open Payments Risk Radar →

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100512000916IPulmonary DiseaseILTBD
I20230103000390IPulmonary DiseaseGUTBD
I20231120000261ICritical Care (Intensivists)VITBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes6819$0
99203New patient office or other outpatient visit, 30-44 minutes3838$0
99213Established patient office or other outpatient visit, 20-29 minutes2827$0
99214Established patient office or other outpatient visit, 30-39 minutes2826$0
99204New patient office or other outpatient visit, 45-59 minutes1919$0
View full utilization report →

Insurance plans in this area (ZIP 60634)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1153233804View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. RADA IVANOV (M.D.)?
DR. RADA IVANOV (M.D.) — NPI 1790782613 — is the standard way to identify this listing.
Does CMS list DR. RADA IVANOV (M.D.) as active?
Yes — DR. RADA IVANOV (M.D.) is active in the NPI listing used on this page.
What healthcare role does DR. RADA IVANOV (M.D.) hold?
Scheduling teams often label DR. RADA IVANOV (M.D.) under Critical Care Medicine (Internal Medicine) Physician. Clinical services aligned with this taxonomy classification.
Where should I expect DR. RADA IVANOV (M.D.) on a map?
Expect Chicago, Illinois as a primary anchor for DR. RADA IVANOV (M.D.) unless the record lists multiple sites.
How many locations tie to this NPI?
5 practice locations appear in the available data.

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