Individual provider Active NPI

Iryna Chesnokova, MD

  • Plastic and Reconstructive Surgery Physician
  • Iowa City, IA
National Provider Identifier
1366880932
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
60319 Issued in KY
Practice address
200 Hawkins Dr
Iowa City, IA 52242-1009
Phone
(319) 353-6425
NPI assigned
Jun 5, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X R-9764 IA
Plastic and Reconstructive Surgery Physician 2086S0122X 60319 KY Primary

Addresses

Primary practice location

200 Hawkins Dr
Iowa City, IA 52242-1009

Mailing address

614 Keswick Dr
Iowa City, IA 52246-3112

Other names 1

  • Iryna Boelter Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230317001745 IA Practitioner - Plastic and Reconstructive SurgeryPractitioner - General Surgery 5092947242 Reassigns benefits to 1 organization
I20250107001803 KY Practitioner - Plastic and Reconstructive SurgeryPractitioner - General Surgery 5092947242 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive SurgeryAlso: General Surgery
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

Practice addresses (Care Compare)

511 Robinbrooke Blvd
Suite 100
Elizabethtown, KY 42701-5904
Phone (270) 706-1945

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision1-10
Removal of tissue19
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R-9764IAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc CurrentSince Jan 1, 2025 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Jan 1, 2025 Accepting new patients
Baptist Health Medical Group Inc Surgery Current Accepting new patients
Infectious Disease Physicians of Iowa City PastSince Dec 13, 2022 Accepting new patients

Locations

511 Robinbrooke Blvd
Ste 100
Elizabethtown, KY 42701
Phone (270) 706-1945

1901 Campus Pl
Louisville, KY 40299
Phone (502) 253-4911

2603 Kentucky Ave
Ste 304
Paducah, KY 42003
Phone (270) 415-4800

Organizations & group practices 5

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 1

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": "1370390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1366880932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 KESWICK DR",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522463112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HAWKINS DR",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522421009",
            "telephone_number": "319-353-6425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHESNOKOVA",
        "first_name": "IRYNA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-05",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IA",
            "license": "R-9764",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "KY",
            "license": "60319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IRYNA",
            "last_name": "BOELTER",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Iowa City, IA

Sources for this page

Verify at the official NPI Registry.