IOURI IVANOV (MD) – Anatomic Pathology & Clinical Pathology Physician, NPI 1053341388

IOURI IVANOV (MD) is a healthcare provider. based in Columbus, Ohio. specializing in PATHOLOGY. They hold the professional credentials MD. They hold a License No. 35086162 (OH). The NPI Number for IOURI IVANOV (MD) is 1053341388

Main info

Male
40 Years Of Experience
Accepts Medicare Assignment
Name
IOURI IVANOV (MD)
NPI
1053341388
Phone
(614) 293-5905
Address
700 ACKERMAN ROAD SUITE 2120
Enumeration Date
3 July 2006
Last Update Date
18 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6142935905
Graduation Year
1986 (40 years ago)
PAC ID
8628095247
Group Practice PAC ID
4587569983
Professional Enrollment ID
I20051101001181
Address ID
OH432101240CO452XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

749 PATHOLOGY in OH

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Provider Addresses for IOURI IVANOV (MD)

  • 700 ACKERMAN ROAD SUITE 2120

    COLUMBUS, OH 432021559

    Phone: (614) 293-5905

    Fax: (614) 293-4715

    Type: Mailing

  • Wexner Medical Center at The Ohio State University, 410, West Tenth Avenue, University District District 4, Columbus, Franklin, Ohio, 43210, United States

    COLUMBUS, OH 432101240

    Phone: (614) 293-5905

    Fax: (614) 293-4715

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2005-11-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20051101001181IPathologyOHTBD

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
88305Pathology examination of tissue using a microscope, intermediate complexity26491$0
88341Special stained specimen slides to examine tissue, each additional procedure21045$0
88307Pathology examination of tissue using a microscope, moderately high complexity8846$0
88342Special stained specimen slides to examine tissue, initial procedure6848$0
88309Pathology examination of tissue using a microscope, high complexity3428$0
View full utilization report →

Insurance plans in this area (ZIP 43202)

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Provider's Procedures

IOURI IVANOV (MD) performs procedures in PATHOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PATHOLOGYOH88307Pathology examination of tissue using a microscope, moderately high complexity16765

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: 4587569983View full group profile
NameSpecialtyState
P A T H O L O G YOH
P A T H O L O G YIN
P A T H O L O G YOH
P A T H O L O G YOH
P A T H O L O G YOH
P A T H O L O G YOH
P A T H O L O G YOH
P A T H O L O G YOH
P A T H O L O G YCA
P A T H O L O G YOH

Reviews

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Frequently asked questions

How do I look up IOURI IVANOV (MD) by NPI?
Use NPI 1053341388 when you need to reference IOURI IVANOV (MD) in forms, claims, or directories.
Is IOURI IVANOV (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does IOURI IVANOV (MD) treat or focus on?
Patients typically see IOURI IVANOV (MD) under the specialty Anatomic Pathology & Clinical Pathology Physician. Clinical services aligned with this taxonomy classification.
Does IOURI IVANOV (MD) practice in Ohio?
You will see Columbus, Ohio on file for IOURI IVANOV (MD) alongside any extra practice locations.
How can I contact IOURI IVANOV (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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