IRINA KOSTOVA DIMITROVA (M.D.) – Obstetrics & Gynecology Physician, NPI 1003847237

IRINA KOSTOVA DIMITROVA (M.D.) is a healthcare provider. based in Vancouver, Washington. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials M.D.. They hold a License No. 4301080622 (MI). The NPI Number for IRINA KOSTOVA DIMITROVA (M.D.) is 1003847237

Main info

Female
Sole Proprietor
29 Years Of Experience
Accepts Medicare Assignment
Name
IRINA KOSTOVA DIMITROVA (M.D.)
NPI
1003847237
Phone
(360) 487-1717
Address
2121 NE 139th St Ste 120
Enumeration Date
5 July 2006
Last Update Date
30 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7732576672
Graduation Year
1997 (29 years ago)
PAC ID
8527082999
Group Practice PAC ID
5991600405
Professional Enrollment ID
I20230508002053
Address ID
IL606081647CH2653XAVEX405
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience93
Completeness85
Years active:19State licenses:8Digital endpointsOther names

1,038 OBSTETRICS/GYNECOLOGY in WA

Provider Addresses for IRINA KOSTOVA DIMITROVA (M.D.)

  • 2121 NE 139th St Ste 120

    Vancouver, WA 986862301

    Phone: (360) 487-1717

    Type: Location

  • Henry Ford West Bloomfield Hospital, 6777, West Maple Road, West Bloomfield Township, Oakland County, Michigan, 48322, United States

    WEST BLOOMFIELD, MI 483223013

    Phone: (248) 325-1000

    Type: Mailing

  • 1500 S Fairfield Ave

    Chicago, IL 606081782

    Phone: (773) 542-2000

    Type: Location

  • 400 W RIVER WOODS PKWY

    GLENDALE, WI 532121060

    Phone:

    Type: Mailing

  • 2350 N LAKE DR

    MILWAUKEE, WI 532114528

    Phone: (414) 585-1949

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 19 Open Payments records for all available years, with a total value of $3,010.

Total Amount is formed as General ($3,010) + Research ($0) + Ownership ($0) = $3,010.

Last reported payment date: 2024-11-12 • Largest payer in this snapshot: Asensus Surgical, Inc. ($1,156).

Total Amount

$3,010

General + Research + Ownership

Payments

19

Total payment records

General Amount

$3,010

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-12

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: 2024-01-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 5 Medicare enrollment records; no due dates published yet.

Enrollment records

5

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
I20180419002099IGynecological OncologyILTBD
I20180907002626IObstetrics/GynecologyMITBD
I20220722002655IGynecological OncologyORTBD
I20230508002053IObstetrics/GynecologyILTBD
I20240131002090IObstetrics/GynecologyWITBD

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
99213Established patient office or other outpatient visit, 20-29 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 98686)

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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: 5991600405View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology), Internal MedicineIL
Diagnostic Radiology, Interventional RadiologyIL
Radiation Oncology, Diagnostic RadiologyIL
Hematology/Oncology, Internal MedicineIL
Endocrinology, Internal MedicineIL
Internal MedicineIL
Internal Medicine, Sleep MedicineIL
-IL
P A T H O L O G YIL
General Surgery, Colorectal Surgery (Proctology)IL

Reviews

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Frequently asked questions

Does IRINA KOSTOVA DIMITROVA (M.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — IRINA KOSTOVA DIMITROVA (M.D.) uses 1003847237.
Does the file indicate IRINA KOSTOVA DIMITROVA (M.D.) is practicing under active NPI?
Directory data currently reports IRINA KOSTOVA DIMITROVA (M.D.) as active.
What healthcare role does IRINA KOSTOVA DIMITROVA (M.D.) hold?
Scheduling teams often label IRINA KOSTOVA DIMITROVA (M.D.) under Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
What address line appears for IRINA KOSTOVA DIMITROVA (M.D.)?
IRINA KOSTOVA DIMITROVA (M.D.)'s geographic hint is Vancouver, Washington in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.