Active NPI
Yulia Lifits-Podorozhansky, M.D.
- Obstetrics & Gynecology Physician
- Fenton, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 2005040723
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
- Mercy Hospital South
- St Lukes Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2005040723 | MO | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Hospitals East Communities | Current | Accepting new patients | |
| Mercy Hospitals East Communities | Current | Accepting new patients | |
| Mercy Clinic East Communities | Current | Accepting new patients | |
| Mercy Clinic East Communities | Obstetrics & Gynecology | Current | 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
- 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.
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1851335228
MO, Obstetrics & Gynecology
-
- Multi-Specialty Clinic/Center
- Wildwood, MO
- NPI 1164857397
-
- Land Ambulance
- Saint Louis, MO
- NPI 1881329902
-
- Federally Qualified Health Center (FQHC)
- Berkeley, MO
- NPI 1184519506
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1427098169
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1427098169
Hospital
-
- General Acute Care Hospital
- Chesterfield, MO
- NPI 1346251543
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2012; 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.