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

Thomas S Ivan, DO

Individual provider Family Medicine Physician · NPI 1992763411

Thomas S Ivan, DO is a Family Practice in Wichita, Kansas. Graduated from Oklahoma State University College of Osteopathic Medicine in 2002, 24 years ago. Practices with Primary Care Associates LLC, a 13-clinician group and accepts Medicare assignment. Licensed in Kansas and Oklahoma.

Years since qualifying
24
Trained at
Oklahoma State University College of Osteopathic Medicine
Licensed in
KS, OK
In the registry since
2006
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

7111 E 21st St N Ste A
Wichita, KS 67206-1078
Phone: (316) 684-2851
Fax: (316) 683-5239
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 05-50713 (KS)
Family Medicine Physician Taxonomy 207Q00000X · Licence 4082 (OK)

Record details

NPI number1992763411
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 3, 2006
Last updated in NPPESApril 10, 2025
Certification dateApril 10, 2025

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2002 (24 years in practice)
Group practice Primary Care Associates Llc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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