Individual provider Active NPI

Irina Lelchuk, M.D., D,O.

  • Geriatric Medicine (Internal Medicine) Physician
  • Brooklyn, NY
National Provider Identifier
1942202437
Registry record updated Oct 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
A216744 Issued in NY
Practice address
2195 E 22ND St
Apt 1C
Brooklyn, NY 11229-3602
Phone
(718) 648-4545
Fax
(718) 648-7788
NPI assigned
Aug 15, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X A216744 NY Primary

Addresses

Primary practice location

2195 E 22ND St
Apt 1C
Brooklyn, NY 11229-3602

Mailing address

2195 E 22ND St
Apt 1C
Brooklyn, NY 11229-3602
Phone (718) 648-4545

Other identifiers 1

IdentifierTypeStateIssuer
02141688MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 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

Enrollment IDStateProvider typePAC IDDetails
I20040423000401 NY Practitioner - Internal MedicinePractitioner - Geriatric Medicine 7517953615 Reassigns benefits to 1 organization
I20230118000917 FL Practitioner - Internal MedicinePractitioner - Geriatric Medicine 7517953615

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2195 E 22ND St
Apt 1C
Brooklyn, NY 11229-3656
Phone (718) 648-4545

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
70.86

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A216744NYMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maimonides Medical Center Current Accepting new patients
Healthway Medical P.C. CurrentSince Jan 16, 2003 Accepting new patients
KFG Operating Two, LLC Past Accepting new patients

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: irinalelchuk@mai.allscriptsdirect.net

Organizations & group practices 3

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 2

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": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193011200000",
    "number": "1942202437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2195 E 22ND ST",
            "address_2": "APT 1C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112293602",
            "telephone_number": "718-648-4545",
            "fax_number": "718-648-7788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2195 E 22ND ST",
            "address_2": "APT 1C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112293602",
            "telephone_number": "718-648-4545",
            "fax_number": "718-648-7788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LELCHUK",
        "first_name": "IRINA",
        "name_prefix": "Dr.",
        "credential": "M.D., D,O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-15",
        "last_updated": "2007-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NY",
            "license": "A216744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02141688",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.