Individual provider Active NPI

Yulia Lifits-Podorozhansky, M.D.

  • Obstetrics & Gynecology Physician
  • Fenton, MO
National Provider Identifier
1689607277
Registry record updated Jan 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
2005040723 Issued in MO
Practice address
1203 Smizer Mill Rd
Suite 106
Fenton, MO 63026-3483
Phone
(636) 717-1390
Fax
(636) 717-1395
NPI assigned
Jul 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 2005040723 MO Primary
Gynecology Physician 207VG0400X 2005040723 MO
Obstetrics Physician 207VX0000X 2005040723 MO

Addresses

Primary practice location

1203 Smizer Mill Rd
Suite 106
Fenton, MO 63026-3483

Mailing address

1203 Smizer Mill Rd
Suite 106
Fenton, MO 63026-3483
Phone (636) 717-1390

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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

Enrollment IDStateProvider typePAC IDDetails
I20060920000037 MO Practitioner - Obstetrics/Gynecology 7719982008 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Missouri, Columbia School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic East CommunitiesGroup PAC ID 7214827922, 573 clinicians
Mercy Hospitals East CommunitiesGroup PAC ID 1658276811, 92 clinicians

Practice addresses (Care Compare)

1000 Des Peres Rd
Suite 300
Saint Louis, MO 63131-2040
Phone (314) 292-7080

615 S New Ballas Rd
Mercy JFK Clinic
St Louis, MO 63141-8221
Phone (314) 251-6382

621 S New Ballas Rd
Suite 189a
Saint Louis, MO 63141-8255
Phone (314) 251-6335

621 S New Ballas Rd
Suite 4017B
Saint Louis, MO 63141-8269
Phone (314) 872-9192

Hospital & facility affiliations

  • Mercy Hospital St Louis Hospital, Saint Louis, MO, CCN 260020
  • Mercy Hospital South Hospital, Saint Louis, MO, CCN 260077
  • St Lukes Hospital Hospital, Chesterfield, MO, CCN 260179

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2005040723MOMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospitals East Communities CurrentSince Apr 8, 2014 Accepting new patients
Mercy Hospitals East Communities CurrentSince Apr 8, 2014 Accepting new patients
Mercy Clinic East Communities CurrentSince Feb 1, 2012 Accepting new patients
Mercy Clinic East Communities Obstetrics & Gynecology CurrentSince Feb 1, 2012 Accepting new patients
County of St Louis Division of Fiscal Management Past Accepting new patients
Mercy Hospitals East Communities Past Accepting new patients

Locations

1203 Smizer Mill Rd
Ste 106
Fenton, MO 63026
Phone (636) 717-1390

1000 Des Peres Rd
Ste 300
Saint Louis, MO 63131
Phone (314) 919-2600

621 S New Ballas Rd
Ste 4017B
Saint Louis, MO 63141
Phone (314) 872-9192

615 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-4687

1000 Des Peres Rd
Ste 100
Saint Louis, MO 63131
Phone (314) 729-4440

621 S New Ballas Rd
Ste 189A
Saint Louis, MO 63141
Phone (314) 251-6335

Interoperability endpoints

  • Direct secure messaging: ylifitspodorozhansky227086@directc.mercy.net

Organizations & group practices 6

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 4

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": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327449600000",
    "number": "1689607277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 SMIZER MILL RD",
            "address_2": "SUITE 106",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630263483",
            "telephone_number": "636-717-1390",
            "fax_number": "636-717-1395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 SMIZER MILL RD",
            "address_2": "SUITE 106",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630263483",
            "telephone_number": "636-717-1390",
            "fax_number": "636-717-1395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIFITS-PODOROZHANSKY",
        "first_name": "YULIA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-08",
        "last_updated": "2012-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MO",
            "license": "2005040723",
            "primary": true
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "MO",
            "license": "2005040723",
            "primary": false
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "MO",
            "license": "2005040723",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fenton, MO

Sources for this page

Verify at the official NPI Registry.