Active NPIIndividual provider

Jelena Ivanis, MD

Pediatrics in Peabody, Massachusetts

NPI Number1831718683
Practice location
10 Centennial Drive, Peabody, MA 01960
Fax
978-535-2907
Last updated
October 20, 2025

Jelena Ivanis is a Pediatrics based in Peabody, MA. Jelena Ivanis practices in Peabody, MA and has the professional credentials of MD. The NPI Number for Jelena Ivanis is 1831718683 and holds a License No. 1013825 (MA). The current practice location address for Jelena Ivanis is 10 Centennial Drive, Peabody, MA 01960 and can be reached out via phone at 978-535-1110 and via fax at 978-535-2907.

Provider Profile Details

NPI Number
1831718683
Provider Name
Jelena Ivanis
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
10 Centennial Drive, Peabody, MA 01960
Phone Number
978-535-1110
Fax Number
978-535-2907
Primary Taxonomy
Pediatrics · 208000000X
Sole Proprietor
No
Provider Enumeration Date
April 13, 2020
Last Update Date
October 20, 2025
Certification Date
October 20, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
10 Centennial Drive
Peabody, MA 01960
Zip
01960
Phone Number
978-535-1110
Fax Number
978-535-2907
Peabody, MA 01960Get directions →

Provider Business Mailing Address Details

Address
10 Centennial Drive
Peabody, MA 01960
City
Peabody
State
MA
Zip
01960
Phone Number
978-535-1110
Fax Number
978-535-2907

License Information

License Number
1013825
License State
MA
Taxonomy
Pediatrics · 208000000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jelena Ivanis, MD?

The NPI number of Jelena Ivanis, MD is 1831718683. It was assigned on April 13, 2020 and is currently active in the NPPES registry.

What is the specialty of Jelena Ivanis, MD?

Jelena Ivanis, MD is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in MA under license number 1013825.

Where does Jelena Ivanis, MD practice?

The practice location is 10 Centennial Drive, Peabody, MA 01960. The office can be reached at 978-535-1110 (phone) or 978-535-2907 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1831718683 directly on the NPPES registry website.

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