Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Ivan Fedoriv, MD

Individual provider Surgery Physician · NPI 1124656822

Dr. Ivan Fedoriv, MD is a General Surgery in Annapolis, Maryland. Qualified in 2015, 11 years ago. Practices as a sole proprietor. Licensed in Maryland.

Years since qualifying
11
Licensed in
MD
In the registry since
2020
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2001 Medical Pkwy # 207
Annapolis, MD 21401-3773
Phone: (443) 336-3031
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence D0105442 (MD)

Record details

NPI number1124656822
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 29, 2020
Last updated in NPPESMay 26, 2026
Certification dateMay 26, 2026
Mailing address2001 Medical Pkwy, Annapolis, MD 21401-3773

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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