Andrew Ivanchenko, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

36111777 Issued in IL

Practice address

985 S. Buffalo Grove Road
Buffalo Grove, IL 60089

Phone

(847) 681-1161

Fax

(847) 681-1161

NPI assigned

Aug 11, 2005

Last updated

Jun 19, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family PracticeAlso: Internal Medicine

Education

Other, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Andrew Ivanchenko MD PC

  • Specialist
  • Buffalo Grove, IL
  • NPI 1487857421
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718755200000",
    "number": "1598767352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 MORAINE RD",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "602022374",
            "telephone_number": "224-628-0295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "985 S. BUFFALO GROVE ROAD",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "60089",
            "telephone_number": "847-681-1161",
            "fax_number": "847-681-1161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVANCHENKO",
        "first_name": "ANDREW",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-11",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "36111777",
            "primary": true
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "IL",
            "license": "36111777",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036111777",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Irina K. Harag, M.D., LTD
• Elizabeth Isaacs, PT
• Isd Buffalo Grove LLC (Buffalo Grove Dialysis)
• It Consulting & Diagnostics Inc
• Jan Wendy Itzkowitz, M.ED., LMFT
• Katryn Ivashnev
• Aybek Izzatov, LMT
• J I Frank, MD, SC
• Bernadette Cadiz Jackson, DPT
• Lloyd Jackson, DDS

• Family Medicine Physician in Buffalo Grove, IL
• Providers in Buffalo Grove, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.