Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Lillian Kim Ivansco, MD, MPH

Individual provider Diagnostic Radiology Physician · NPI 1043478605

Dr. Lillian Kim Ivansco, MD, MPH practises Diagnostic Radiology in Atlanta, Georgia. Graduated from Emory University School of Medicine in 2008, 18 years ago. Practices with The Southeast Permanente Medical Group, a 826-clinician group and accepts Medicare assignment. Licensed in Colorado, Georgia, Hawaii and Kansas and 1 more.

Years since qualifying
18
Trained at
Emory University School of Medicine
Licensed in
CO, GA, HI, KS, NE
In the registry since
2008
Specialties on file
5
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
MPH — Master of Public Health
A graduate degree in population health.

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Practice location Address checks out

20 Glenlake Pkwy
Atlanta, GA 30328-3473
Phone: (404) 364-7285
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 069869 (GA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence MD17668 (HI)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 04-37114 (KS)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 27713 (NE)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 53370 (CO)

Record details

NPI number1043478605
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD , MPH
Sole proprietorNo
NPI enumeratedMay 29, 2008
Last updated in NPPESJanuary 10, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolEMORY UNIVERSITY SCHOOL OF MEDICINE
Graduated 2008 (18 years in practice)
Group practice The Southeast Permanente Medical Group — 826 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients58
Services billed 108 a service is one billed item, such as a visit, a test or a procedure
Average patient age67

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Colleagues at The Southeast Permanente Medical Group

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 826 clinicians in the practice; 12 are shown here.

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