OLEKSANDR PIVNENKO MD – NPI #1780478123
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

OLEKSANDR PIVNENKO is a physician located in ROCKFORD, IL. NPPES has assigned the NPI number 1780478123 to OLEKSANDR PIVNENKO on April 09, 2025. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was last updated on Jul 02, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for OLEKSANDR PIVNENKO below.

NPI Profile for
OLEKSANDR PIVNENKO

NPI Number
1780478123
Enumeration Date

(more than a year ago)
Entity Type
Type-1  Individual (Male)
Legal Name
OLEKSANDR PIVNENKO
Credentials
MD
Primary location
MERCYHEALTH JAVON BEA HOSPITAL
8201 EAST RIVERSIDE BOULEVARD
ROCKFORD, IL 61114
Phone: (815) 971-7000 Fax:
Mailing address
MERCYHEALTH ALPINE CLINIC
7702 N ALPINE RD
LOVES PARK, IL 61111
Phone: (815) 971-2000 Fax:
Sole Proprietor
No
Updated
Certification Date
Jul 02, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
IL 125.085331
390200000X
- Student in an Organized Health Care Education/Training Program
IL

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.