Doctor profile · Federal record

Dr. Samuel Ivan, MD

Urology Physician (CMS: Urology) · Urology Physician · Philadelphia, PA

  • NPI 1902366222
  • Accepts Medicare
  • 7 yrs in practice
  • Licensed in 2 states
  • Male
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
333 Cottman Ave
Philadelphia, PA 191112434
(215) 728-6900
Mailing address
3509 N Broad St
Philadelphia, PA 191404105

Credentials & registration

NPPES · NUCC
NPI registered
March 2019 — 7 yrs on file
Profile last updated
January 27, 2026
Year of graduation
2019 — 7 yrs since
Specialty taxonomy
208800000X — NUCC code
State licenses (2)
Pennsylvania #MD485277 · North Carolina #250301

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1902366222. Last verified May 11, 2026.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$797
Transactions
13
Manufacturers
2
Payer (manufacturer) Industry Txns Amount
COLOPLAST CORP 4 $447.55
Boston Scientific Corporation 9 $349.52

By nature of payment

Food and Beverage
$797

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
40
Patients
39
Total drug cost
$638
Drug Type Claims Patients Total cost
Trospium Chloride Generic 15 14 $562
Tramadol Hcl Generic 14 14 $36
Ciprofloxacin Hcl Generic 11 11 $40

Hospital affiliations

CMS Hospital Compare

Frequently asked questions

Auto-generated from federal data
What is Dr. Samuel Ivan's medical specialty?
Dr. Samuel Ivan practices Urology Physician in Philadelphia, PA.
Where does Dr. Samuel Ivan practice?
Dr. Samuel Ivan practices at 333 Cottman Ave, Philadelphia, PA 191112434. Office phone: 2157286900.
What is Dr. Samuel Ivan's NPI?
Dr. Samuel Ivan's National Provider Identifier (NPI) is 1902366222, issued by NPPES.
Does Dr. Samuel Ivan accept Medicare assignment?
Yes. Dr. Samuel Ivan accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.