Active NPI
Irina Gutsalyuk, PA
- Physician Assistant
- Port Saint Lucie, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9109303
- Practice address
- 370 Southeast Veranda Falls Way
Suite 102
Port Saint Lucie, FL 34984 - Phone
- (772) 763-1720
- Fax
- (772) 214-3027
- NPI assigned
- Aug 7, 2006
- Last updated
- Jul 3, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9109303 | FL | Primary |
| Surgical Physician Assistant | 363AS0400X | 009810-1 | NY |
Addresses
Primary practice location
370 Southeast Veranda Falls Way
Suite 102
Port Saint Lucie, FL 34984
Mailing address
PO Box 20800
Belfast, ME 04915-4105
Phone (888) 402-7256
Other practice location 1
310 Southeast Veranda West Boulevard
Port Saint Lucie, FL 34984
Phone (772) 309-8500
Other practice location 2
3931 Louisana Ave. S.
St. Louis Park, MN 55426
Phone (952) 993-2079
Other names 1
- Irina Tsur-Tsar
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1411 N Flagler Dr
Suite 8000
West Palm Beach, FL 33401-3413
Phone (561) 650-6231
900 SE Becker Rd
Port St Lucie, FL 34984-6641
Phone (772) 255-7550
901 Village Blvd
West Palm Beach, FL 33409-1947
Hospital & facility affiliations
- Cleveland Clinic Martin North Hospital
- Cleveland Clinic Indian River Hospital
- Jupiter Medical Center
- Palm Beach Gardens Medical Center
- HCA Florida Raulerson Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.5 of 100
- Quality
- 69.32
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.03
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9109303 | FL | MD | Physician Assistant |
| 009810-1 | NY | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Palm Beach Physicians & Urgent Care, Inc. | Current | Accepting new patients | |
| Tenet Florida Physician Services LLC | Current | Accepting new patients |
Locations
3650 NW 82nd Ave
Ste 502
Doral, FL 33166
Phone (305) 594-9333
8825 Perimeter Park Blvd
Ste 102
Jacksonville, FL 32216
Phone (904) 399-4004
901 45th St
Mangonia Park, FL 33407
Phone (561) 844-6300
1411 N Flagler Dr
Ste 8000
West Palm Beach, FL 33401
Phone (561) 650-6231
4623 Forest Hill Blvd
Ste 101
West Palm Beach, FL 33415
Phone (561) 966-7194
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- irina.gutsalyuk.2@13023.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Surgery Physician
- West Palm Beach, FL
- NPI 1659417467
-
dba Medical Center of the Palm Beaches
- Specialist
- West Palm Beach, FL
- NPI 1417074691
-
- Orthopaedic Surgery Physician
- West Palm Beach, FL
- NPI 1912266420
-
dba Medical Center Imaging
- Specialist
- West Palm Beach, FL
- NPI 1033256003
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Cleveland Clinic Indian River Hospital
- General Acute Care Hospital
- Vero Beach, FL
- NPI 1376512988
-
- General Acute Care Hospital
- Jupiter, FL
- NPI 1295721090
-
dba Cleveland Clinic Martin North, South, Tradition Hospitals
- General Acute Care Hospital
- Stuart, FL
- NPI 1194790055
-
dba HCA Florida Raulerson Hospital
- General Acute Care Hospital
- Okeechobee, FL
- NPI 1215974134
-
dba Palm Beach Gardens Medical Center
- General Acute Care Hospital
- Palm Beach Gardens, FL
- NPI 1144251216
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751500800000",
"number": "1073522942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 20800",
"city": "BELFAST",
"state": "ME",
"postal_code": "049154105",
"telephone_number": "888-402-7256",
"fax_number": "888-902-1099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "370 SOUTHEAST VERANDA FALLS WAY",
"address_2": "SUITE 102",
"city": "PORT SAINT LUCIE",
"state": "FL",
"postal_code": "34984",
"telephone_number": "772-763-1720",
"fax_number": "772-214-3027"
}
],
"practiceLocations": [
{
"address_1": "310 Southeast Veranda West Boulevard",
"address_purpose": "LOCATION",
"city": "Port Saint Lucie",
"state": "FL",
"postal_code": "34984",
"country_code": "US",
"telephone_number": "772-309-8500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3931 Louisana Ave. S.",
"address_purpose": "LOCATION",
"city": "St. Louis Park",
"state": "MN",
"postal_code": "55426",
"country_code": "US",
"telephone_number": "952-993-2079",
"fax_number": "716-887-5045",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUTSALYUK",
"first_name": "IRINA",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-07",
"last_updated": "2025-07-03",
"certification_date": "2025-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9109303",
"primary": true
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "NY",
"license": "009810-1",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "IRINA",
"last_name": "TSUR-TSAR",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Port Saint Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.