IndividualActive
Alexandra Ivanov
NPI 1700771292 · Critical Care Medicine (Internal Medicine) Physician · South Weymouth, MA
Provider details
- NPI number
- 1700771292
- Entity type
- Individual
- Primary specialty
- Critical Care Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Sex
- Female
- Sole proprietor
- No
- License
- 0 (MA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
55 Fogg Rd
South Weymouth, MA 02190-2432
Phone: (781) 624-8000
Street-level locationGet directions
Mailing address
12 Hancock St Apt 1
Somerville, MA 02144-3103
Registry dates
- Enumerated
- 2025-06-12
- Last updated
- 2025-06-12
- Certified
- 2025-06-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.