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

Samuel J Ivan, MD

Individual provider Urology Physician · NPI 1902366222

Samuel J Ivan, MD is an Urology in Philadelphia, Pennsylvania. Graduated from University of Toledo College of Medicine in 2019, 7 years ago. Practices with Temple Faculty Practice Plan Inc, a 1,314-clinician group and accepts Medicare assignment. Licensed in North Carolina and Pennsylvania.

Years since qualifying
7
Trained at
University of Toledo College of Medicine
Licensed in
NC, PA
In the registry since
2019
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

333 Cottman Ave
Philadelphia, PA 19111-2434
Phone: (215) 728-6900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence MD485277 (PA)
Urology Physician Taxonomy 208800000X · Licence 250301 (NC)

Record details

NPI number1902366222
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 22, 2019
Last updated in NPPESJanuary 27, 2026
Certification dateJanuary 27, 2026

Medicare enrollment

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

Medicare specialtyUROLOGY
Medical schoolUNIVERSITY OF TOLEDO COLLEGE OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice Temple Faculty Practice Plan Inc — 1314 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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