Individual provider Active NPI

Irina Y Mezhebovsky, M.D.

  • Specialist
  • Brookline, MA
National Provider Identifier
1114981073
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
150235 Issued in MA
Practice address
300 South St
Brookline, MA 02467-3658
Phone
(617) 469-0300
Fax
(617) 783-0395
NPI assigned
Apr 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 150235 MA Primary

Addresses

Primary practice location

300 South St
Brookline, MA 02467-3658

Mailing address

44 Highland Ter
Needham, MA 02494-3014
Phone (781) 455-6609

Other identifiers 1

IdentifierTypeStateIssuer
3171051MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1145145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1114981073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 HIGHLAND TER",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024943014",
            "telephone_number": "781-455-6609",
            "fax_number": "781-455-6609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 SOUTH ST",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024673658",
            "telephone_number": "617-469-0300",
            "fax_number": "617-783-0395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEZHEBOVSKY",
        "first_name": "IRINA",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-16",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MA",
            "license": "150235",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3171051",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookline, MA

Sources for this page

Verify at the official NPI Registry.