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

Dr. Ivan Lupov, MD

Individual provider Emergency Medicine Physician · NPI 1942657747

Dr. Ivan Lupov, MD is an Emergency Medicine in Indianapolis, Indiana. Graduated from Indiana University School of Medicine in 2016, 10 years ago. Practices with Iu Health Medical Group, LLC, a 4,351-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
10
Trained at
Indiana University School of Medicine
Licensed in
IN
In the registry since
2016
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

1701 N Senate Blvd Iusom Dept OF Emergency Medicine Rm AG012
Indianapolis, IN 46202-1239
Phone: (317) 962-5975
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 601 W 2nd St, Bloomington, IN 47403-2317 — (812) 353-9515

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 11018664A (IN)

Record details

NPI number1942657747
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 21, 2016
Last updated in NPPESFebruary 15, 2019

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolINDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2016 (10 years in practice)
Group practice Iu Health Medical Group, Llc — 4351 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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