Active NPI
Iryna Pogosova
- Diagnostic Ultrasound Physician
- Philadelphia, PA
National Provider Identifier
1043076623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Ultrasound Physician
- License
- 159237
- Practice address
- 406 Parlin St
Philadelphia, PA 19116-3520 - Phone
- (267) 918-3169
- NPI assigned
- Feb 22, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Ultrasound Physician | 2085U0001X | 159237 | PA | Primary |
Addresses
Primary practice location
406 Parlin St
Philadelphia, PA 19116-3520
Mailing address
406 Parlin St
Philadelphia, PA 19116-3520
Phone (267) 918-3169
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 159237 | PA | MD | Diagnostic Ultrasound Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708560000000",
"number": "1043076623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "406 PARLIN ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191163520",
"telephone_number": "267-918-3169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "406 PARLIN ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191163520",
"telephone_number": "267-918-3169"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POGOSOVA",
"first_name": "IRYNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-02-22",
"last_updated": "2024-02-22",
"certification_date": "2024-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "2085U0001X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Ultrasound",
"state": "PA",
"license": "159237",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.