DR. ALEXANDER ANATOLEVICH IVANOV MD
NPI 1356873657
Internal Medicine - Clinical Cardiac Electrophysiology in Gastonia, NC

Active since March 28, 2017PECOS EnrolledAccepts Medicare Assignment
2555 COURT DR STE 200, GASTONIA, NC 28054(704) 834-3278 Get Directions Write a Review

NPPES record last updated: May 29, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 29, 2026, May 1, 2026, Apr 8, 2026 and 4 more (7 updates tracked since 2017).

About Dr. Alexander Anatolevich Ivanov Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ALEXANDER ANATOLEVICH IVANOV MD (NPI 1356873657) is an individual clinical cardiac electrophysiology provider in Gastonia, North Carolina, licensed in North Carolina (262249) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, is affiliated with Caromont Regional Medical Center, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1356873657
Entity TypeIndividualMale
Primary Taxonomy207RC0001X
Provider Legal NameDR. ALEXANDER ANATOLEVICH IVANOVCredential: MD
Location Address2555 COURT DR STE 200Gastonia, NC 28054-2178
Mailing Address2555 Court Dr Ste 200Gastonia, NC 28054-2178 · (704) 834-3278
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateMarch 28, 2017
Last NPPES UpdateMay 29, 20267 updates tracked since enumeration
NPPES CertifiedMay 29, 2026
✔ NPI 1356873657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Clinical Cardiac ElectrophysiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RC0001X
License✔ Licensed in NC · 262249
Definition
A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 262249 (NC)
2555 COURT DR STE 200, Gastonia, NC 28054

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Alexander Anatolevich Ivanov Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5698194314
PECOS Enrollment IDI20240719001074
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

5

Medicare enrollment records show Alexander Ivanov reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
1303 GREENSBORO STREET EXT
Lexington, NC 27295
  • Reassigned Medicare billing, North Carolina enrollment
  • 3,003 clinicians in this Medicare group
Internal Medicine
509-E NORTH ELAM AVENUE, 3RD FLOOR
Greensboro, NC 27403
  • Reassigned Medicare billing, North Carolina enrollment
  • 835 clinicians in this Medicare group
Emergency Medical Services
6701 NC HIGHWAY 135
Mayodan, NC 27027
  • Reassigned Medicare billing, North Carolina enrollment
  • 76 clinicians in this Medicare group
Clinic/Center
6150 W LAYTON AVE
Milwaukee, WI 53220
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,457 clinicians in this Medicare group
Optometrist
118 S MARQUETTE RD
Prairie Du Chien, WI 53821
  • Reassigned Medicare billing, Wisconsin enrollment
  • 928 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Caromont Regional Medical Center

Acute Care Hospitals · Gastonia, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340032
Location2525 Court DrGastonia, NC 28052 · Gaston County
Emergency services Birthing friendly

Gundersen Lutheran Medical Center

Acute Care Hospitals · La Crosse, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520087
Location1910 South AveLa Crosse, WI 54601 · La Crosse County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28054 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Cardiovascular Disease)
2555 COURT DR STE 200
GASTONIA, NC 28054
Nurse Practitioner (Acute Care)
2555 COURT DR STE 200
GASTONIA, NC 28054
Physician Assistant
2555 COURT DR STE 200
GASTONIA, NC 28054
Nurse Practitioner (Acute Care)
2555 COURT DR STE 200
GASTONIA, NC 28054
Nurse Practitioner (Acute Care)
2555 COURT DR STE 200
GASTONIA, NC 28054
Internal Medicine (Clinical Cardiac Electrophysiology)
2555 COURT DR STE 200
GASTONIA, NC 28054
Physician Assistant
2555 COURT DR STE 200
GASTONIA, NC 28054
Physician Assistant
2555 COURT DR STE 200
GASTONIA, NC 28054

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alexander Ivanov's NPI number?

The NPI number for Alexander Ivanov is 1356873657. It was assigned to this individual provider in the NPPES registry on March 28, 2017.

Where is Alexander Ivanov located?

Alexander Ivanov practices at 2555 Court Dr Ste 200, Gastonia, NC 28054. The listed phone number is (704) 834-3278.

What is Alexander Ivanov's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Clinical Cardiac Electrophysiology, with taxonomy code 207RC0001X.

Is Alexander Ivanov enrolled in Medicare?

Yes. Alexander Ivanov is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Alexander Ivanov's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alexander Ivanov reassigns Medicare benefits to 5 organizations: Wake Forest University Health Sciences (Lexington, NC), The Moses H. Cone Memorial Hospital Operating Corporation (Greensboro, NC), Unc Rockingham Health Care, Inc. (Mayodan, NC), Gundersen Lutheran Medical Center Inc (Milwaukee, WI) and Gundersen Clinic, Ltd. (Prairie Du Chien, WI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Alexander Ivanov's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alexander Ivanov accept?

Health plans from Anthem Blue Cross and Blue Shield, Cigna Healthcare and Oscar Health Plan of North Carolina, Inc list Alexander Ivanov as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Alexander Ivanov affiliated with any hospitals?

According to CMS data, Alexander Ivanov is affiliated with Caromont Regional Medical Center and Gundersen Lutheran Medical Center.

When was this NPI record last updated?

The NPPES record for Alexander Ivanov was last updated on May 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.