IRINA MIRONOVA – Emergency Medicine Physician, NPI 1619408564

IRINA MIRONOVA is a healthcare provider. based in Hummelstown, Pennsylvania. specializing in EMERGENCY MEDICINE. They hold a License No. 305753 (NY). The NPI Number for IRINA MIRONOVA is 1619408564

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
IRINA MIRONOVA
NPI
1619408564
Phone
(347) 277-3300
Address
1830 GRAMERCY PL
Enumeration Date
22 March 2017
Last Update Date
12 May 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9549395000
Graduation Year
2017 (9 years ago)
PAC ID
3678818614
Group Practice PAC ID
2466633821
Professional Enrollment ID
I20220118000867
Address ID
FL346985848DU601XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:9State licenses:1Digital endpointsOther names

4,917 EMERGENCY MEDICINE in NY

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Provider Addresses for IRINA MIRONOVA

  • 1830 GRAMERCY PL

    HUMMELSTOWN, PA 170367041

    Phone: (347) 277-3300

    Type: Mailing

  • 6641 BERGEN PL

    BROOKLYN, NY 112204825

    Phone: (347) 277-3300

    Type: Mailing

  • Maimonides Medical Center, 4802, 10th Avenue, Borough Park, Brooklyn, Kings County, New York, 11219, United States

    BROOKLYN, NY 112192916

    Phone: (347) 277-3300

    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 $99.

Total Amount is formed as General ($99) + Research ($0) + Ownership ($0) = $99.

Last reported payment date: 2023-06-06 • Largest payer in this snapshot: Fisher & Paykel Healthcare Inc ($99).

Total Amount

$99

General + Research + Ownership

Payments

1

Total payment records

General Amount

$99

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-06-06

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2022-01-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20201016002165IEmergency MedicineNYTBD
I20220118000867IEmergency MedicineFLTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making276269$0
99284Emergency department visit with moderate level of medical decision making6262$0
99291Critical care, first 30-74 minutes3838$0
93042Electrocardiogram (ecg) 1 to 3 leads with review by physician only2121$0
View full utilization report →

Insurance plans in this area (ZIP 17036)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2466633821View full group profile
NameSpecialtyState
Emergency MedicineFL
Emergency MedicineFL
Emergency MedicineFL
Emergency MedicineFL
Emergency MedicineFL
Emergency MedicineFL
Emergency MedicineFL
Emergency MedicineFL
-FL
Physician AssistantFL

Reviews

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Frequently asked questions

What identifier follows IRINA MIRONOVA across health systems?
The NPI 1619408564 uniquely identifies IRINA MIRONOVA in U.S. healthcare data.
Should I treat IRINA MIRONOVA as an active provider?
Patients and plans typically see IRINA MIRONOVA as active in the national extract.
How should patients interpret IRINA MIRONOVA's specialty?
The extract shows Emergency Medicine Physician for IRINA MIRONOVA. Clinical services aligned with this taxonomy classification.
Can patients visit IRINA MIRONOVA in Hummelstown, Pennsylvania?
For routing, start with Hummelstown, Pennsylvania for IRINA MIRONOVA, then verify phone and hours locally.
Who maintains IRINA MIRONOVA's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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