Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ivan Pivovarov, MD

Individual provider Family Medicine Physician · NPI 1467662148

Ivan Pivovarov, MD is a Family Practice in Madison, Alabama. Qualified in 1986, 40 years ago. Practices as a sole proprietor, works from 2 locations and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
40
Licensed in
AL
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

279 Hughes Rd
Madison, AL 35758-1142
Phone: (256) 289-1733
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1215 7th Street, Se, Decatur, AL 35601-3384 — (256) 280-9335

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 29030 (AL)

Record details

NPI number1467662148
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 23, 2007
Last updated in NPPESJuly 21, 2022
Mailing address279 Hughes Rd, Madison, AL 35758-1142

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1986 (40 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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