Individual provider Active NPI

Irina S Ten, MD

  • Pediatric Critical Care Medicine Physician
  • Topeka, KS
National Provider Identifier
1477675932
Registry record updated Mar 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Critical Care Medicine PhysicianTaxonomy code 2080P0203X
License
ME98910 Issued in FL
Practice address
1500 SW 10TH Ave
Topeka, KS 66604-1301
Phone
(785) 354-5242
Fax
(785) 354-6349
NPI assigned
Apr 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Critical Care Medicine Physician 2080P0203X 1013577 MA
Pediatric Critical Care Medicine Physician 2080P0203X 2020-02465 NC
Pediatric Critical Care Medicine Physician 2080P0203X ME98910 FL Primary

Addresses

Primary practice location

1500 SW 10TH Ave
Topeka, KS 66604-1301

Mailing address

PO Box 40908
Fayetteville, NC 28309-0908
Phone (910) 615-6949

Other practice location 1

759 Chestnut St # S3598
Springfield, MA 01107-1619
Phone (413) 794-3400

Other practice location 2

1717 S Orange Ave
Suite 100
Orlando, FL 32806-2946
Phone (407) 650-7715

Other identifiers 1

IdentifierTypeStateIssuer
279829800MedicaidFL

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address iten114324@stormontvaildirect.org Direct COTTON O'NEIL CLINIC REVOCABLE TRUST
Direct Messaging Address iten114324@stormontvaildirect.org Direct STORMONT-VAIL HEALTHCARE INC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NC, MT3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20080107000361 FL Practitioner - Pediatric MedicinePractitioner - Critical Care (Intensivists) 2961582754 Reassigns benefits to 3 organizations
I20200611001931 NC Practitioner - Pediatric Medicine 2961582754 Reassigns benefits to 1 organization
I20240523002388 MT Practitioner - Pediatric MedicinePractitioner - Critical Care (Intensivists) 2961582754 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME98910FLMDPediatric Critical Care Medicine Physician
2020-02465NCMDPediatric Critical Care Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Nemours Foundation CurrentSince Feb 5, 2014 Accepting new patients
SCL Health Montana Current Accepting new patients
Cumberland County Hospital System Inc Current Accepting new patients
Cumberland County Hospital System Inc CurrentSince Jun 1, 2020 Accepting new patients
The Nemours Foundation Current Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Jul 8, 2019 Accepting new patients
SCL Health Medical Group - Billings, LLC CurrentSince May 10, 2024 Accepting new patients
Cumberland County Hospital System Inc CurrentSince Jun 1, 2020 Accepting new patients
The Nemours Foundation CurrentSince Feb 5, 2014 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Jul 8, 2019 Accepting new patients
SCL Health Medical Group - Billings, LLC CurrentSince May 10, 2024 Accepting new patients
SCL Health Medical Group - Billings LLC Current Accepting new patients
Rapides Healthcare System, L.L.C. Past Accepting new patients
Baptist Memorial Hospital Past Accepting new patients

Locations

500 Eldorado Blvd
Ste 4300
Broomfield, CO 80021

807 Childrens Way
Jacksonville, FL 32207
Phone (904) 390-3600

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

6535 Nemours Pkwy
Orlando, FL 32827
Phone (407) 567-4000

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

1717 S Orange Ave
Ste 100
Orlando, FL 32806

1041 N 29th St
Billings, MT 59101
Phone (303) 237-5577

1233 N 30th St
Billings, MT 59101
Phone (406) 237-3850

16 N Miles Ave
Hardin, MT 59034
Phone (406) 665-2205

1638 Owen Dr
Fayetteville, NC 28304
Phone (910) 609-5610

Interoperability endpoints

  • Direct secure messaging: iten604547@direct.bmhcc.org
  • Direct secure messaging: iten80767@capefearvalley.direct-ci.com
  • Direct secure messaging: iten114324@stormontvaildirect.org

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678060800000",
    "number": "1477675932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40908",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283090908",
            "telephone_number": "910-615-6949",
            "fax_number": "910-615-9761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 SW 10TH AVE",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666041301",
            "telephone_number": "785-354-5242",
            "fax_number": "785-354-6349"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "759 Chestnut St # S3598",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MA",
            "postal_code": "011071619",
            "country_code": "US",
            "telephone_number": "413-794-3400",
            "fax_number": "413-794-1273",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1717 S Orange Ave",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328062946",
            "country_code": "US",
            "telephone_number": "407-650-7715",
            "fax_number": "407-650-7124",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TEN",
        "first_name": "IRINA",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-04",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "MA",
            "license": "1013577",
            "primary": false
        },
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "NC",
            "license": "2020-02465",
            "primary": false
        },
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "FL",
            "license": "ME98910",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "279829800",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "iten114324@stormontvaildirect.org",
            "affiliation": "Y",
            "endpointDescription": "SVH Secure messaging",
            "affiliationName": "COTTON O'NEIL CLINIC REVOCABLE TRUST",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "1500 SW 10th Ave",
            "city": "Topeka",
            "state": "KS",
            "country_code": "US",
            "postal_code": "666041301",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "iten114324@stormontvaildirect.org",
            "affiliation": "Y",
            "endpointDescription": "SVH Secure messaging",
            "affiliationName": "STORMONT-VAIL HEALTHCARE INC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "1500 SW 10th Ave",
            "city": "Topeka",
            "state": "KS",
            "country_code": "US",
            "postal_code": "666041301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

Verify at the official NPI Registry.