Iryna Kylyukh

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA60896550 Issued in WA

Practice address

1700 13TH St
Everett, WA 98201-1689

Phone

(206) 724-6079

NPI assigned

Apr 6, 2017

Last updated

May 25, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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.

Specialty

Physician Assistant

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Providence Regional Medical Center Everett Hospital, Everett, WA, CCN 500014

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ikylyukh769865@direct.multicare.org

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.

• Western Washington Medical Group, Inc PS

  dba Lake Serene Clinic

  • Primary Care Clinic/Center
  • Lynnwood, WA
  • NPI 1003809229
  NPD
• Western Washington Medical Group, Inc PS

  dba WWMG Department of Psychiatry

  • Psychiatry Physician
  • Everett, WA
  • NPI 1396413803
  NPD
• Western Washington Medical Group, Inc PS

  dba Western Washington Medical Group Dept of Infectious Disease

  • Infectious Disease Physician
  • Everett, WA
  • NPI 1427816305
  NPD
• Highline Medical Group Inc

  • Family Medicine Physician
  • Burien, WA
  • NPI 1982652400

  Medical

  NPD (past)

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

• Providence Health & Services-Wa

  dba Providence Regional Medical Center Everett

  • Hospitalist Physician
  • Everett, WA
  • NPI 1649615220
  Care Compare affiliation
• Providence Health & Services-Wa

  • General Acute Care Hospital
  • Everett, WA
  • NPI 1700037801
  Care Compare affiliation

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

{
    "created_epoch": "1491436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653436800000",
    "number": "1225561210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5849 MCKINLEY PL N",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981035710",
            "telephone_number": "206-724-6079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 13TH ST",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982011689",
            "telephone_number": "206-724-6079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KYLYUKH",
        "first_name": "IRYNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-06",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA60896550",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WA",
            "license": "PA60896550",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2121843",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Kuruc
• Dianne Louise Kutzke, ARNP
• Aimi Kuwahara, D.D.S.
• Kateryna Kuzmychova
• Lucia Kwong
• Maria Labao
• Abigail Laberge, RBT
• Salwa R Labib, MD
• Laboratory Corporation of America
• Laboratory Corporation of America

• Physician Assistant in Everett, WA
• Providers in Everett, WA by specialty
• Physician Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2022; 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.

Verify at the official NPI Registry.