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

Individual provider Pain Medicine Physician · NPI 1699742312

Dr. Ivan Fomitchev, MD is an Anesthesiology in San Antonio, Texas. Qualified in 1989, 37 years ago. Practices with Anesthesia Medicine Services of Fl LLC, a 165-clinician group and accepts Medicare assignment. Licensed in Iowa.

Years since qualifying
37
Licensed in
IA
In the registry since
2006
Specialties on file
2
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

8711 Wales Reserve
San Antonio, TX 78255-3371
Phone: (563) 564-1283
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 34875 (IA)
Pain Medicine Physician Taxonomy 208VP0000X · Licence 34875 (IA)

Record details

NPI number1699742312
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 1, 2006
Last updated in NPPESMay 19, 2021
Certification dateMay 19, 2021

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolOTHER
Graduated 1989 (37 years in practice)
Group practice Anesthesia Medicine Services Of Fl Llc — 165 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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