Irina Ludner, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

242103 Issued in NY

Practice address

10933 71St Rd
Suite 1 B
Forest Hills, NY 11375-4867

Phone

(718) 520-8585

Fax

(718) 520-8688

NPI assigned

Mar 30, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Irina Kimyagarova Former name

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

Interoperability endpoints

• Direct secure messaging: iludner6737@direct.medisys.org

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.

• Jamaica Hospital

  • Emergency Medical Services (Emergency Medicine) Physician
  • Jamaica, NY
  • NPI 1477505220
  Medicare reassignment NPD
• Jamaica Hospital

  • Skilled Nursing Facility
  • Jamaica, NY
  • NPI 1750516795
  NPD
• Fridman Medical

  • Obstetrics & Gynecology Physician
  • Forest Hills, NY
  • NPI 1932361466
  NPD (past)
• Jamaica Hospital Medical Center

  • Ambulatory Family Planning Facility
  • Richmond Hill, NY
  • NPI 1134376254
  NPD (past)

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408406400000",
    "number": "1285754432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6395 AUSTIN ST",
            "address_2": "APT 3 H",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113743051",
            "telephone_number": "347-622-0441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10933 71ST RD",
            "address_2": "SUITE 1 B",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754867",
            "telephone_number": "718-520-8585",
            "fax_number": "718-520-8688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUDNER",
        "first_name": "IRINA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-30",
        "last_updated": "2014-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "242103",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02931771",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IRINA",
            "last_name": "KIMYAGAROVA",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Edgar Lu, DPM
• Yi Luan, L.AC.
• Rozana Lucev-Miljak, MS BCBA
• Kailan Luciano, OTR/L
• Etienne Lucien Sr.
• Melissa Michelle Luhmann, LMHC
• Rox Joacuin Lukas, PT, DPT
• Waiho Lum, M.D.
• Waishun Lumas
• Kevin Jonathan Luna, MD

• Pediatrics Physician in Forest Hills, NY
• Providers in Forest Hills, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.