DR. IRENE DMITRUK (DO) – Emergency Medicine Physician, NPI 1861703399
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,847 EMERGENCY MEDICINE in IL
Provider Addresses for DR. IRENE DMITRUK (DO)
1632 S INDIANA AVE
#307
CHICAGO, IL 606161387
Phone: (201) 961-2477
Type: Mailing
8558 BROADWAY
MERRILLVILLE, IN 464107032
Phone: (201) 961-2477
Type: Mailing
9660 WICKER AVE
SAINT JOHN, IN 463739487
Phone: (219) 365-1177
Fax: (219) 703-6662
Type: Location
1632 S Indiana Ave
#307
Chicago, IL 606161387
Phone: (201) 961-2477
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $14.
Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.
Last reported payment date: 2023-04-27 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($14).
Total Amount
$14
General + Research + Ownership
Payments
1
Total payment records
General Amount
$14
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-04-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Pharmaceuticals, Inc | $14 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2011-11-09
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20111109000343 | I | Emergency Medicine | IN | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 622 | 573 | $0 |
| 99291 | Critical care, first 30-74 minutes | 132 | 126 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 120 | 119 | $0 |
| 31500 | Emergent insertion of breathing tube into windpipe using an endoscope | 12 | 12 | $0 |
| 36556 | Insertion of non-tunneled central venous tube for infusion (5 years or older) | 11 | 11 | $0 |
Insurance plans in this area (ZIP 60616)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IN | |
| Physician Assistant | MD | |
| Physician Assistant | MI | |
| Emergency Medicine | WI | |
| Emergency Medicine | NH | |
| Physician Assistant | OR | |
| Emergency Medicine | GA | |
| Emergency Medicine | IL | |
| Emergency Medicine | IN | |
| - | OR |
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