Alexander M Hrynewych, MD
Individual provider Active NPI Obstetrics & Gynecology Physician · Jacksonville, IL
NPI 1780726430 · NPPES record last updated May 18, 2018
Key facts
- NPI
- 1780726430
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- 036128851 (IL)
- Practice address
- 610 N Westgate Ave
Jacksonville, IL 62650 - Phone
- (217) 243-8455
- Fax
- (217) 243-7951
- NPI assigned
- Feb 12, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Obstetrics/Gynecology
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Siu Physicians and Surgeons Inc
Practice addresses (Care Compare)
1600 W Walnut St
Jacksonville, IL 62650-1136
Phone (217) 545-8000
Hospital & facility affiliations
- Jacksonville Memorial Hospital
- Memorial Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110927000556 | IL | Practitioner - Obstetrics/Gynecology | 3971774712 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036128851 | IL | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Springfield Clinic LLP | Current | Accepting new patients | |
| Board of Trustees of Southern Illinois University | Current | Accepting new patients | |
| Board of Trustees of Southern Illinois University | Current |
Accepting new patients | |
| Board of Trustees of Southern Illinois University | Current | Accepting new patients | |
| Siu Physicians & Surgeons, Inc | Current |
Accepting new patients | |
| Obhg Illinois SC | Obstetrics & Gynecology | Current |
Accepting new patients |
| Board of Trustees of Southern Illinois University | Current |
Accepting new patients | |
| Siu Physicians & Surgeons, Inc | Current |
Accepting new patients | |
| Siu Physicians & Surgeons, Inc | Past | Accepting new patients | |
| County of Morgan Health Dept | Past |
Accepting new patients |
Locations
1555 N Barrington Rd
Hoffman Estates, IL 60169
Phone (847) 490-2923
610 N Westgate Ave
Jacksonville, IL 62650
Phone (217) 243-8455
500 John Deere Rd
Moline, IL 61265
Phone (309) 779-2840
1600 W Walnut St
South Jacksonville, IL 62650
Phone (217) 245-7275
520 N 4th St
Springfield, IL 62702
Phone (217) 757-8100
751 N Rutledge St
Springfield, IL 62702
Phone (217) 545-0182
Interoperability endpoints
- alexanderhrynewych@sfc.allscriptsdirect.net
- alexanderhrynewych@siusm.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 036128851 | IL | Yes |
Addresses
Primary practice location
610 N Westgate Ave
Jacksonville, IL 62650
Mailing address
610 N Westgate Ave
Jacksonville, IL 62650-1152
Phone (217) 243-8455
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036128851 | Medicaid | IL |
Other providers in Jacksonville, IL
- Sondra S Hoover
- Megan E Hopps
- Leslie Howard
- Allison Howell
- Courtney Howell
- HSHS Medical Group Inc
- Annette E Huddleston
- Shane Gregory Hudson
- Michael Trevor Huffman
- Lauren B Hull
All providers in Jacksonville, IL · Obstetrics & Gynecology Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 18, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.