Individual provider Active NPI

Irina Lytvak, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Saint Louis, MO
National Provider Identifier
1225211162
Registry record updated Jun 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
N5209 Issued in TX
Practice address
660 S Euclid Ave
Saint Louis, MO 63110-1010
Phone
(314) 362-0101
NPI assigned
Dec 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X N5209 TX Primary

Addresses

Primary practice location

660 S Euclid Ave
Saint Louis, MO 63110-1010

Mailing address

660 S Euclid Ave
Saint Louis, MO 63110-1010

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110912000425 TX Practitioner - Pathology 7113198748 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Laboratory Physicians AssociationGroup PAC ID 4385538065, 11 clinicians

Practice addresses (Care Compare)

1441 N Beckley Ave
Dallas, TX 75203-1201
Phone (214) 947-8181

1500 S Dallas Pkwy
Celina, TX 75009-3495
Phone (214) 947-8181

17101 Dallas Pkwy
Addison, TX 75001-7103
Phone (972) 361-8058

2700 E Broad St
Mansfield, TX 76063-5899
Phone (682) 622-2000

2831 E President George Bush Hwy
Richardson, TX 75082-3561
Phone (469) 204-1000

3500 W Wheatland Rd
Dallas, TX 75237-3460
Phone (214) 947-7777

Hospital & facility affiliations

  • Methodist Mansfield Medical Center Hospital, Mansfield, TX, CCN 670023
  • Methodist Dallas Medical Center Hospital, Dallas, TX, CCN 450051
  • Methodist Charlton Medical Center Hospital, Dallas, TX, CCN 450723
  • Methodist Richardson Medical Center Hospital, Richardson, TX, CCN 450537
  • Methodist Midlothian Medical Center Hospital, Midlothian, TX, CCN 670300

Merit-based Incentive Payment System (MIPS)

Final score
91.85 of 100Reported as group
Quality
72.17
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Laboratory Physicians Association Anatomic Pathology & Clinical Pathology Current Accepting new patients
Surgical Pathologists of Dallas PastSince Aug 1, 2013 Accepting new patients
Prism Pathology LLC Past Accepting new patients

Locations

17101 Dallas Pkwy
Addison, TX 75001
Phone (214) 696-8033

3500 W Wheatland Rd
Dallas, TX 75237
Phone (214) 947-5950

1441 N Beckley Ave
Dallas, TX 75203
Phone (214) 712-2429

2700 E Broad St
Mansfield, TX 76063
Phone (682) 242-2000

8000 Eldorado Pkwy
McKinney, TX 75070
Phone (469) 424-6400

2831 George Bush Hwy
Richardson, TX 75082
Phone (469) 204-1000

Organizations & group practices 3

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

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1197590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307232000000",
    "number": "1225211162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 S EUCLID AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631101010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 S EUCLID AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631101010",
            "telephone_number": "314-362-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYTVAK",
        "first_name": "IRINA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-14",
        "last_updated": "2011-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TX",
            "license": "N5209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.