Iryna Vitaliyivna Polyakova, D.O.

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

License

02006069A Issued in IN

Practice address

1201 S Main St
Crown Point, IN 46307-8481

Phone

(219) 738-2100

Fax

(219) 933-2288

NPI assigned

Jul 9, 2015

Last updated

Oct 16, 2023By 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 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IN, SC2 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

Specialty

Family Practice

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Community Hospital of Bremen IncGroup PAC ID 6002897451, 5 clinicians

24 On Physicians of SC LLCGroup PAC ID 5890127344, 136 clinicians

Apogee Medical Group Indiana PCGroup PAC ID 8729155742, 70 clinicians

Sound Physicians of Indiana LLCGroup PAC ID 4981841780, 76 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Methodist Hospitals Inc Hospital, Gary, IN, CCN 150002
• Elkhart General Hospital Hospital, Elkhart, IN, CCN 150018
• Community Hospital of Bremen Inc Hospital, Bremen, IN, CCN 151300
• Roper St Francis Hospital-Berkeley Inc Hospital, Summerville, SC, CCN 420110
• Roper Hospital Hospital, Charleston, SC, CCN 420087
• Community Hospital of Bremen Inc Nursing home, CCN 15Z300

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ipolyakova1158664@direct.trinity-health.org
• Direct secure messaging: ipolyakova485323@reidhealth.direct-ci.com

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.

• Apogee Medical Group Indiana PC

  • Internal Medicine Physician
  • Goshen, IN
  • NPI 1093973885
  Medicare reassignment Care Compare group NPD
• Community Hospital of Bremen, Inc.

  • Internal Medicine Physician
  • Bremen, IN
  • NPI 1902017080

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Sound Physicians of Indiana, LLC

  • Hospitalist Physician
  • Gary, IN
  • NPI 1528311149

  Family Medicine

  Medicare reassignment Care Compare group NPD
• 24 On Physicians of SC, LLC

  • Hospitalist Physician
  • Charleston, SC
  • NPI 1144877655
  Medicare reassignment Care Compare group
• Hospitalist Physicians of Indiana, PC

  • Hospitalist Physician
  • Fort Wayne, IN
  • NPI 1306576277

  Family Medicine

  Medicare reassignment NPD
• New Albany Hospitalist Group, LLC

  • Hospitalist Physician
  • New Albany, IN
  • NPI 1255084752
  Medicare reassignment NPD
• Reid Physician Associates, Inc.

  dba Reid Health Physician Associates

  • Internal Medicine Physician
  • Richmond, IN
  • NPI 1265689111
  Medicare reassignment NPD
• Saint Joseph Regional Medical Center-South Bend Campus, Inc

  dba Saint Joseph Regional Medical Center-South Bend Campus Inc Mobile Med

  • Mobile Mammography Clinic/Center
  • South Bend, IN
  • NPI 1023844693
  Medicare reassignment NPD
• Southeastern Hospitalist Services PC

  • Hospitalist Physician
  • Myrtle Beach, SC
  • NPI 1003280108

  Family Medicine

  Medicare reassignment NPD
• Community Hospital of Bremen, Inc.

  • Medicare Defined Swing Bed Hospital Unit
  • Bremen, IN
  • NPI 1477597631
  NPD
• Diane M. Mackie & Associates, PC

  • Anatomic Pathology & Clinical Pathology Physician
  • Bremen, IN
  • NPI 1376525303
  NPD
• In Hospitalists, LLC

  • Hospitalist Physician
  • Terre Haute, IN
  • NPI 1225735384
  NPD

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

• Community Hospital of Bremen, Inc

  • Critical Access Hospital
  • Bremen, IN
  • NPI 1568417004
  Care Compare affiliation
• Community Hospital of Bremen, Inc.

  • Medicare Defined Swing Bed Hospital Unit
  • Bremen, IN
  • NPI 1477597631

  Nursing home

  Care Compare affiliation
• Elkhart General Hospital, Inc.

  • General Acute Care Hospital
  • Elkhart, IN
  • NPI 1477551489
  Care Compare affiliation
• The Methodist Hospitals, Inc

  • General Acute Care Hospital
  • Gary, IN
  • NPI 1467504555
  Care Compare affiliation
• Roper Hospital, Inc

  • General Acute Care Hospital
  • Charleston, SC
  • NPI 1962472860
  Care Compare affiliation
• Roper St Francis Hospital-Berkeley Inc.

  dba Roper St. Francis Intensivist Services

  • General Acute Care Hospital
  • Summerville, SC
  • NPI 1336603646
  Care Compare affiliation

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

{
    "created_epoch": "1436400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1447633326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 781076",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482781076",
            "telephone_number": "317-528-4800",
            "fax_number": "317-865-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 S MAIN ST",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463078481",
            "telephone_number": "219-738-2100",
            "fax_number": "219-933-2288"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13930 Lauerman St",
            "address_purpose": "LOCATION",
            "city": "Cedar Lake",
            "state": "IN",
            "postal_code": "463037107",
            "country_code": "US",
            "telephone_number": "219-595-2556",
            "fax_number": "833-731-0541",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POLYAKOVA",
        "first_name": "IRYNA",
        "middle_name": "VITALIYIVNA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-09",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS15044",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "02006069A",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IN",
            "license": "02006069A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL MEDICARE",
            "identifier": "JK466",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL RR MEDICARE",
            "identifier": "P02211193",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shannon Polezoes
• Sophia Pollalis, ATC
• Polus Dental
• Alexandra Polus, D.M.D.
• Philip G. Polus, D.D.S.
• Lexi Popko, RBT
• Popovich Dental Corporation
• Ashley Marie Popovich, NP-C
• James Gabriel Popovich, D.D.S
• Natalie Joan Popovich, D.D.S

• Hospitalist Physician in Crown Point, IN
• Providers in Crown Point, IN by specialty
• Hospitalist Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; 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.