Active NPI
Iryna G Chastain, M.D.
- Internal Medicine Physician
- Worcester, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 238742
- Practice address
- 123 Summer St
Worcester, MA 01608-1216 - Phone
- (508) 363-5000
- NPI assigned
- May 15, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 238742 | MA | Primary |
Addresses
Primary practice location
123 Summer St
Worcester, MA 01608-1216
Mailing address
5 Neponset Street
Wot 2ND FL, Ste C203
Worcester, MA 01606-2714
Phone (508) 852-0600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110083584A | Medicaid | MA |
Other names 1
- Mrs. Iryna Gennagyevna Chastain
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
123 Summer St
Worcester, MA 01608-1216
Phone (508) 363-5000
5 Neponset St
Worcesteer, MA 01606-2714
Phone (508) 595-2300
Hospital & facility affiliations
- St Vincent Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians of Cape Cod Hospital | Internal Medicine | Current | Accepting new patients |
| Steward Medical Group, Inc | Current | Accepting new patients | |
| Vibra Physicians LLC | Current | Accepting new patients | |
| Reliant Medical Group, Inc | Internal Medicine | Current | Accepting new patients |
| Steward Medical Group, Inc | Current | Accepting new patients | |
| Reliant Medical Group, Inc | Past | Accepting new patients | |
| VHS Acquisition Subsidiary Number 7 Inc | Past | Accepting new patients |
Locations
27 Park St
Hyannis, MA 02601
Phone (508) 775-5011
100 Amesbury St
Ste 103
Lawrence, MA 01840
Phone (978) 683-0157
4499 Acushnet Ave
New Bedford, MA 02745
Phone (508) 207-4274
1400 State St
Springfield, MA 01109
Phone (413) 726-6118
5 Neponset St
Worcester, MA 01606
Phone (508) 595-2300
55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862
5 Neponset St
Fl 2
Worcester, MA 01606
Phone (508) 368-5532
123 Summer St
Worcester, MA 01608
Phone (508) 363-6000
119 Belmont St
Worcester, MA 01605
Phone (508) 334-6345
Interoperability endpoints
- iryna.chastain.npi1285801407.reliant@direct.optumcare.masshiway.net
Organizations & group practices 7
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.
-
- Neuroradiology Physician
- Hyannis, MA
- NPI 1679832364
Internal Medicine
-
- Specialist
- Watertown, MA
- NPI 1629398219
-
- Specialist
- Brighton, MA
- NPI 1356654495
-
- Physical Therapist
- Worcester, MA
- NPI 1295827962
-
- General Acute Care Hospital
- Worcester, MA
- NPI 1538131214
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Worcester, MA
- NPI 1538131214
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583712000000",
"number": "1285801407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 NEPONSET STREET",
"address_2": "WOT 2ND FL, STE C203",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016062714",
"telephone_number": "508-852-0600",
"fax_number": "508-368-3146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 SUMMER ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016081216",
"telephone_number": "508-363-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHASTAIN",
"first_name": "IRYNA",
"middle_name": "G",
"name_prefix": "Mrs.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-15",
"last_updated": "2020-03-09",
"certification_date": "2020-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "238742",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110083584A",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "IRYNA",
"last_name": "CHASTAIN",
"middle_name": "GENNAGYEVNA",
"prefix": "MRS.",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2020; 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.