Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1164975892 Individual Practitioner Female Practitioner

Dr. Diyana Ivanova , OD

Optometrist • Chicago, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Diyana Ivanova, OD is a certified Optometrist practicing in Chicago, IL. With approximately 10 years of clinical experience since completing medical education in 2016, Dr. Ivanova delivers high-quality medical care to the local community at 1950 W POLK ST.

Dr. Ivanova is affiliated with Endeavor Health Medical Group and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient complete exam of visual system, established patient problem focused exam of visual system, established patient complete exam of visual system. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1950 W Polk St

Chicago, IL 606123723

Telephone 3128646000
Associated Practice Facility / Clinic
🏢 Cook County Facility NPI 1386110674

Medicare Profile & Education

Medical School

Other

Graduation Year

2016

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Chicago, IL

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
10 Yrs -5.6 yrs vs City Avg
City Avg: 15.6 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
633 Specialists

Practicing in Chicago, IL (2783 Statewide)

Telehealth Adoption Rate
0.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
57.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ivanova (10 Years) 10 Yrs
Chicago Specialty Average (15.6 Years) 15.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92004 New patient complete exam of visual system
18 18 $215.00 $94.42
92012 Established patient problem focused exam of visual system
12 12 $126.67 $50.13

Medical Specialties & State Licenses

CMS Verified: 2021-04-26
Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License IL 046011050

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
046011050 (IL)

Hospital & Practice Group Affiliations

Endeavor Health Medical Group

71 Waukegan Rd, Lake Bluff, IL 600441614

Phone: 2243642273

Endeavor Health Medical Group

9600 Gross Point Rd, Skokie, IL 600761214

Endeavor Health Medical Group

2050 Pfingsten Rd, Glenview, IL 600261324

Endeavor Health Medical Group

2650 Ridge Ave, Evanston, IL 602011700

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Vignesh Chidambaram , MD, MPH

Internal Medicine - Cardiovascular Disease

NPI 1003496449

Doctor of Medicine (M.D.), Master of Public Health

Dr. Lucas Kuzmanic , DO

Internal Medicine

NPI 1003590126

Doctor of Osteopathic Medicine (D.O.)

NPI 1003704271

Bachelor of Medicine, Bachelor of Surgery (M.B.B.S.)

Dr. Aron Gudetta , MD

Internal Medicine

NPI 1003708843

Doctor of Medicine (M.D.)

Dr. Tin Thomas , MD

Internal Medicine

NPI 1013001064

Doctor of Medicine (M.D.)

Christopher Payne

Nurse Anesthetist, Certified Registered

NPI 1013531284

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

15 Historical Events
📍
Updated Practice Location August 27, 2019

Registered at 1950 W POLK ST, CHICAGO, IL 606123723 (Tel: 3128646000)

📍
Updated Business Mailing Address August 27, 2019

Registered at 1950 W POLK ST FL 8, CHICAGO, IL 606123723 (Tel: 3128646000)

📍
Updated Practice Location June 18, 2018

Registered at 3450 LACEY RD, DOWNERS GROVE, IL 60515 (Tel: 6307434500)

📍
Updated Business Mailing Address June 18, 2018

Registered at 3450 LACEY RD, DOWNERS GROVE, IL 605155430 (Tel: 6307434500)

NPI Profile Active February 16, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location February 16, 2017

Registered at 4240 OAKTON ST, SKOKIE, IL 600763263 (Tel: 7735011555)

📍
Updated Business Mailing Address February 16, 2017

Registered at 4240 OAKTON ST, SKOKIE, IL 600763263 (Tel: 7735011555)

👤
Provider Name / Credentials Updated February 16, 2017

Recorded as DIYANA IVANOVA, OD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 16, 2017

Optometrist (License #046011050 in IL)

NPI Profile Active July 29, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location July 29, 2016

Registered at 4240 OAKTON ST, SKOKIE, IL 600763263 (Tel: 7735011555)

📍
Updated Business Mailing Address July 29, 2016

Registered at 4240 OAKTON ST, SKOKIE, IL 600763263 (Tel: 7735011555)

👤
Provider Name / Credentials Updated July 29, 2016

Recorded as DIYANA IVANOVA, OD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 29, 2016

Optometrist (License #046011050 in IL)

🟢
Initial NPI Registration & Enumeration July 29, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1164975892
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 29, 2016
Last Update: April 26, 2021
Sole Proprietor: Yes

Mailing Address

1950 W Polk St Fl 8

Chicago, IL 606123723

Phone: 3128646000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.