ANDREW IVANCHENKO MD PC
NPI 1487857421
Specialist in Buffalo Grove, IL
About Andrew Ivanchenko Md Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANDREW IVANCHENKO MD PC (NPI 1487857421) is a healthcare organization registered as a specialist in Buffalo Grove, Illinois and active in the NPI registry since June 2007. The organization lists Olesya Malloy, Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Andrew Ivanchenko Md Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Andrew Ivanchenko MD PC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Andrew Ivanchenko MD PC's NPI number?
The NPI number for Andrew Ivanchenko MD PC is 1487857421. It was assigned to this organization in the NPPES registry on June 7, 2007.
Where is Andrew Ivanchenko MD PC located?
Andrew Ivanchenko MD PC is located at 985 S. Buffalo Grove Road, Buffalo Grove, IL 60089. The listed phone number is (847) 681-1161.
What is Andrew Ivanchenko MD PC's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Andrew Ivanchenko MD PC enrolled in Medicare?
Yes. Andrew Ivanchenko MD PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Andrew Ivanchenko MD PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Andrew Ivanchenko MD PC, in Family Practice and Physical Therapist in Private Practice. A 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 the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Andrew Ivanchenko MD PC was last updated on April 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Andrew Ivanchenko Md Pc · NPI 1487857421
Specialist organization in Buffalo Grove, Illinois. Organization record, active in the CMS NPPES registry since June 7, 2007.
## Identity
- **NPI:** 1487857421 (Entity type: Organization)
- **Enumerated:** June 7, 2007
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Organization subpart:** No
- **Authorized official:** Olesya Malloy, ADMINISTRATOR
## Practice location
- **Address:** 985 S. BUFFALO GROVE ROAD, Buffalo Grove, IL 60089
- **Phone:** (847) 681-1161
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (1), Physical Therapist in Private Practice (1); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 29, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1487857421) · Data from the CMS NPPES public registry.