Individual provider Active NPI

Irina Dimitrova

  • Internal Medicine Physician
  • Austin, TX
National Provider Identifier
1851747679
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
T5301 Issued in TX
Practice address
2200 Park Bend Dr Ste 300
Austin, TX 78758-5386
Phone
(855) 481-8375
NPI assigned
May 11, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X T5301 TX Primary

Addresses

Primary practice location

2200 Park Bend Dr Ste 300
Austin, TX 78758-5386

Mailing address

550 Frist Avenue
New York, NY 10016

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20220813000345 TX Practitioner - Internal Medicine 1951692052 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
JS Weill Medical College, Cornell University, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Harbor Health Medical GroupGroup PAC ID 8921482597, 46 clinicians

Practice addresses (Care Compare)

505 W Louis Henna Blvd
Suite 100
Austin, TX 78728-1702
Phone (855) 481-8375

Hospital & facility affiliations

  • North Austin Medical Center Hospital, Austin, TX, CCN 450809

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
T5301TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Harbor Health Medical Group Internal Medicine CurrentSince Sep 15, 2024 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC Internal Medicine CurrentSince Jun 1, 2022 Accepting new patients
Cogent Healthcare of Texas, PA Internal Medicine CurrentSince Oct 15, 2022 Accepting new patients
Airrosti Rehab Centers, LLC Past Accepting new patients

Locations

1201 W 38th St
Austin, TX 78705
Phone (512) 324-1058

2200 Park Bend Dr
Bldg 2
Austin, TX 78758
Phone (512) 836-5665

12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530

601 E 15th St
Austin, TX 78701
Phone (512) 324-7868

3200 Red River St
Ste 201
Austin, TX 78705
Phone (512) 473-0201

500 N Capital of Texas Hwy
Ste 125
Austin, TX 78746
Phone (512) 443-9355

2200 Park Bend Dr
Ste 300
Austin, TX 78758
Phone (512) 371-6398

505 W Louis Henna Blvd
Ste 100
Austin, TX 78728
Phone (512) 252-1505

911 W 38th St
Ste 101
Austin, TX 78705
Phone (512) 600-2888

701 E FM 1626
Ste 100
Austin, TX 78748
Phone (512) 777-0884

507 Calles St
Ste 100
Austin, TX 78702

3201 W State Highway 22
Corsicana, TX 75110
Phone (903) 654-6800

18951 N Memorial Dr
Humble, TX 77338
Phone (281) 319-8409

177 Kirkham Cir
Kyle, TX 78640
Phone (512) 405-0077

2700 E Broad St
Mansfield, TX 76063
Phone (682) 242-2000

511 Oakwood Blvd
Ste 200
Round Rock, TX 78681
Phone (512) 246-2262

455 University Blvd
Ste 400
Round Rock, TX 78665
Phone (512) 766-2171

511 Oakwood Blvd
Round Rock, TX 78681
Phone (512) 792-4087

2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/28292/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: irina.dimitrova.1@28292.direct.athenahealth.com
  • Direct secure messaging: idimitrova674802@nychhc.direct-ci.com

Organizations & group practices 4

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": "1462924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741219200000",
    "number": "1851747679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 FRIST AVENUE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 PARK BEND DR STE 300",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787585386",
            "telephone_number": "855-481-8375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMITROVA",
        "first_name": "IRINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-11",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "T5301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.