Individual provider Active NPI

Irina Petrenko, M.D.

  • Sleep Medicine (Internal Medicine) Physician
  • Middletown, CT
National Provider Identifier
1982864740
Registry record updated Feb 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
License
71437 Issued in CT
Practice address
80 S Main St Ste 304
Middletown, CT 06457-3648
Phone
(860) 358-4615
Fax
(860) 358-8697
NPI assigned
Jun 13, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Internal Medicine) Physician 207RS0012X 249456 NY
Sleep Medicine (Internal Medicine) Physician 207RS0012X 71437 CT Primary

Addresses

Primary practice location

80 S Main St Ste 304
Middletown, CT 06457-3648

Mailing address

28 Crescent St
Middletown, CT 06457-3654
Phone (860) 358-6000

Other names 1

  • Irina Istomina Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20221102000277 CT Practitioner - Internal Medicine 1658566575 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Middlesex HospitalGroup PAC ID 5092611731, 231 clinicians

Practice addresses (Care Compare)

80 S Main St
Suite 303
Middletown, CT 06457-3648
Phone (860) 358-6878

Hospital & facility affiliations

  • Middlesex Hospital Hospital, Middletown, CT, CCN 070020

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Middlesex Hospital CurrentSince Sep 1, 2022 Accepting new patients
Middlesex Hospital CurrentSince Sep 1, 2022 Accepting new patients
Physicians of University Hospital, PC Current Accepting new patients
Staten Island Medical Intensivist PC Past Accepting new patients

Locations

28 Crescent St
Middletown, CT 06457
Phone (860) 358-6000

80 S Main St
Middletown, CT 06457
Phone (860) 347-6939

80 S Main St
Ste 102
Middletown, CT 06457
Phone (860) 358-6878

80 S Main St
Ste 303
Middletown, CT 06457
Phone (860) 358-6878

80 S Main St
Ste 304
Middletown, CT 06457
Phone (860) 358-4615

1 Edgewater St
Fl 6
Staten Island, NY 10305
Phone (718) 226-1047

475 Seaview Ave
Staten Island, NY 10305
Phone (718) 226-8855

242 Mason Ave
Staten Island, NY 10305
Phone (718) 226-1458

Networks

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

Interoperability endpoints

  • Direct secure messaging: ipetrenko74958@middlesexhealthprd.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": "1213315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770336000000",
    "number": "1982864740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 CRESCENT ST",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064573654",
            "telephone_number": "860-358-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 S MAIN ST STE 304",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064573648",
            "telephone_number": "860-358-4615",
            "fax_number": "860-358-8697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRENKO",
        "first_name": "IRINA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-13",
        "last_updated": "2026-02-06",
        "certification_date": "2026-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "NY",
            "license": "249456",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "CT",
            "license": "71437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IRINA",
            "last_name": "ISTOMINA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Middletown, CT

Sources for this page

Verify at the official NPI Registry.