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

Dr. Ivan Petrovitch, MD

Individual provider Diagnostic Radiology Physician · NPI 1063541993

Dr. Ivan Petrovitch, MD is a Diagnostic Radiology in Murray, Utah. Graduated from George Washington University School of Medicine in 2002, 24 years ago. Practices with Northern Virginia Radiology Consultants, PLLC, a 27-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Utah and Virginia.

Years since qualifying
24
Trained at
George Washington University School of Medicine
Licensed in
UT, VA
In the registry since
2007
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

5121 S Cottonwood St
Murray, UT 84107-5701
Phone: (801) 507-7000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1701 N George Mason Dr, Arlington, VA 22205-3610 — (703) 558-6730

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 0101245045 (VA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 13516848-1205 (UT)

Record details

NPI number1063541993
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 5, 2007
Last updated in NPPESOctober 17, 2023
Certification dateOctober 17, 2023

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolGEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 2002 (24 years in practice)
Group practice Northern Virginia Radiology Consultants, Pllc — 27 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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