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

Dr. Nathaniel Mark Ivanick, MD

Individual provider Pulmonary Disease Physician · NPI 1063623098

Dr. Nathaniel Mark Ivanick, MD is a Pulmonary Disease in Buffalo, New York. Qualified in 2007, 19 years ago. Practices with Roswell Park Cancer Institute, a 489-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and New York.

Years since qualifying
19
Licensed in
CA, NY
In the registry since
2007
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Partly verified

Some contact details are missing from the federal record.

Elm And Carlton Streets
Buffalo, NY 14263-0001
Phone: (716) 845-2300
Show map & directions

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

Additional practice locations (1)

  • 701 E El Camino Real, Mountain View, CA 94040-2833 — (650) 404-7144

Specialties & licences

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (primary) Taxonomy 208G00000X · Licence 298396 (NY)
Pulmonary Disease Physician Taxonomy 207RP1001X · Licence C154270 (CA)
Pulmonary Disease Physician Taxonomy 207RP1001X · Licence 298396 (NY)

Record details

NPI number1063623098
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 24, 2007
Last updated in NPPESSeptember 21, 2021
Certification dateSeptember 21, 2021

Medicare enrollment

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

Medicare specialtyPULMONARY DISEASE
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Roswell Park Cancer Institute — 489 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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