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

Individual provider Internal Medicine Physician · NPI 1568403269

Ivan Patrick Maillard, MD is an Internal Medicine in Philadelphia, Pennsylvania. Qualified in 1993, 33 years ago. Practices with Memorial Hematology Lymphoma Group, a 216-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
33
Licensed in
PA
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

3400 Spruce St
Philadelphia, PA 19104-4238
Phone: (215) 615-0063
Fax: (215) 349-8144
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hematology (Internal Medicine) Physician (primary) Taxonomy 207RH0000X · Licence MD423465 (PA)
Internal Medicine Physician Taxonomy 207R00000X · Licence MD423465 (PA)

Record details

NPI number1568403269
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 10, 2006
Last updated in NPPESSeptember 19, 2019

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Group practice Memorial Hematology Lymphoma Group — 216 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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