Owen Ivan, MD
NPI 1639932353 · Internal Medicine Physician · Jackson, MS
Enrolled with Medicare as Order and Referring Only - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Owen Ivan, MD is a Internal Medicine Physician provider in Jackson, MS (NPI 1639932353).
Provider details
- NPI number
- 1639932353
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- T-5603 (MS)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-02-05
- Last updated
- 2026-01-08
- Certified
- 2026-01-08
Frequently asked questions
- What is Owen Ivan's NPI number?
- Owen Ivan's National Provider Identifier (NPI) is 1639932353, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Owen Ivan's specialty?
- Owen Ivan is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Owen Ivan located?
- Owen Ivan's practice location on file with NPPES is 2500 N State St, Jackson, MS 39216-4500.
- What is Owen Ivan's phone number?
- The practice phone number listed in the NPPES registry for Owen Ivan is (601) 984-5012.
- Does Owen Ivan accept Medicare?
- Owen Ivan is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Owen Ivan's NPI active?
- Yes — Owen Ivan's NPI (1639932353) is active in the NPPES registry as of the last update on 2026-01-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.