NPIMap

Individual provider Active NPI

Irene Vasko, D.O.

  • Diagnostic Radiology Physician
  • Fayetteville, NC
National Provider Identifier
1063876555
Registry record updated Aug 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
2022-00345 Issued in NC
Practice address
3186 Village Dr Ste 201
Fayetteville, NC 28304-3979
Phone
(910) 486-5700
Fax
(910) 486-5950
NPI assigned
Apr 11, 2016
Last updated
Aug 2, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 25MB11076100 NJ
Diagnostic Radiology Physician 2085R0202X 2022-00345 NC Primary

Addresses

Primary practice location

3186 Village Dr Ste 201
Fayetteville, NC 28304-3979

Mailing address

1 Federal St # 200
Camden, NJ 08103-1088
Phone (856) 356-4924

Other practice location 1

1 Cooper Plz
Camden, NJ 08103-1461
Phone (856) 342-2390

Other practice location 2

2635 E 19th St
2nd Floor
Brooklyn, NY 11235-3302
Phone (646) 591-5042

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210721000251 NJ Practitioner - Diagnostic Radiology 7618370271 Reassigns benefits to 2 organizations
I20220506000453 NC Practitioner - Diagnostic Radiology 7618370271 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
New York College of Osteo Medicine of New York Institute of Technology, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Radiology P aGroup PAC ID 0749181089, 32 clinicians
Scotland Memorial Hospital, IncGroup PAC ID 0648208504, 259 clinicians

Practice addresses (Care Compare)

3186 Village Dr
Suite 201
Fayetteville, NC 28304-3979
Phone (910) 486-5700

500 Jefferson St
Whiteville, NC 28472-3634
Phone (910) 642-8011

500 Lauchwood Dr
Laurinburg, NC 28352-5501
Phone (910) 610-4172

806 Cowles St
Fayetteville, NC 28303-5328
Phone (469) 757-1042

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.33 of 100Reported as group
Quality
73.83
Improvement activities
40
Cost
93.42

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
25MB11076100NJMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Columbus Regional Healthcare System CurrentSince Jan 1, 2025 Accepting new patients
Scotland Memorial Hospital Inc Diagnostic Radiology CurrentSince Oct 1, 2024 Accepting new patients
Valley Radiology P a Diagnostic Radiology CurrentSince Jun 1, 2022 Accepting new patients
Brier Creek Imaging, LLC Diagnostic Radiology CurrentSince Nov 1, 2024 Accepting new patients
Pinnacle Health Services of North Carolina, LLC Diagnostic Radiology CurrentSince Nov 1, 2024 Accepting new patients
Pinnacle Health Services of North Carolina, LLC Diagnostic Radiology CurrentSince Nov 1, 2024 Accepting new patients
Scotland Memorial Hospital Inc CurrentSince Oct 1, 2024 Accepting new patients
Cumberland County Hospital System Inc Diagnostic Radiology CurrentSince Jun 1, 2025 Accepting new patients
Cooper University Radiology, PC Diagnostic Radiology CurrentSince Jun 1, 2021 Accepting new patients
Medical Imaging Center, LLC CurrentSince Apr 28, 2022 Accepting new patients
Columbus Regional Healthcare System CurrentSince Jan 1, 2025 Accepting new patients
Radiation Oncology, PC CurrentSince Jan 15, 2024 Accepting new patients
Pinnacle Health Services of North Carolina, LLC Diagnostic Radiology CurrentSince Nov 1, 2024 Accepting new patients
Pinnacle Health Services of North Carolina LLC Diagnostic Radiology CurrentSince Nov 1, 2024 Accepting new patients

Locations

501 S Poplar St
Elizabethtown, NC 28337
Phone (910) 862-4043

3186 Village Dr
Ste 201
Fayetteville, NC 28304
Phone 9104865700104

500 Lauchwood Dr
Laurinburg, NC 28352
Phone (856) 848-3227

500 Jefferson St
Whiteville, NC 28472
Phone (910) 642-1776

3 Cooper Plz
Camden, NJ 08103
Phone (609) 342-2001

2 Cooper Plz
#400
Camden, NJ 08103
Phone (856) 342-2300

1 Cooper Plz
Camden, NJ 08103
Phone (856) 342-2425

900 Centennial Blvd
Ste E
Voorhees, NJ 08043
Phone (856) 325-6505

Interoperability endpoints

  • Direct secure messaging: ivasko2936029@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 14

Hospital & facility affiliations 18

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 18

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1460332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659398400000",
    "number": "1063876555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FEDERAL ST # 200",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031088",
            "telephone_number": "856-356-4924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3186 VILLAGE DR STE 201",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043979",
            "telephone_number": "910-486-5700",
            "fax_number": "910-486-5950"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Cooper Plz",
            "address_purpose": "LOCATION",
            "city": "Camden",
            "state": "NJ",
            "postal_code": "081031461",
            "country_code": "US",
            "telephone_number": "856-342-2390",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2635 E 19th St",
            "address_2": "2nd Floor",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112353302",
            "country_code": "US",
            "telephone_number": "646-591-5042",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VASKO",
        "first_name": "IRENE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-11",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MB11076100",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "2022-00345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.