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

Gennadiy Ivanov, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1861720815

Gennadiy Ivanov, MD is an Obstetrics/Gynecology in Feasterville Trevose, Pennsylvania. Qualified in 1997, 29 years ago. Works from 3 locations and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
29
Licensed in
PA
In the registry since
2009
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 Address checks out

520 Bustleton Pike
Feasterville Trevose, PA 19053
Phone: (215) 631-3873
Fax: (215) 631-3899
Show map & directions

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

Additional practice locations (2)

  • 1203 Langhorne Newtown Rd Ste 226, Langhorne, PA 19047-1224 — (215) 710-4460
  • 1155 East Mountain Blvd., Wilkes-Barre, PA 18702-3377 — (570) 808-7916

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence MD454021 (PA)

Record details

NPI number1861720815
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 3, 2009
Last updated in NPPESMay 25, 2021
Certification dateMay 25, 2021

Medicare enrollment

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

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Feasterville Trevose