Irena Vivian Vitkovitsky, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

2008015956 Issued in MO

Practice address

660 S Euclid Ave
Box 8072
Saint Louis, MO 63110-1010

Phone

(314) 362-9177

NPI assigned

Jun 18, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in OH, NV, MA3 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 3

Specialty

Emergency Medicine

Education

Saint Louis University School of Medicine, 2008

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Hospital & facility affiliations

• Saint Rose Dominican Hospitals - San Martin Campus Hospital, Las Vegas, NV, CCN 290053
• Saint Rose Dominican Hospitals - North Las Vegas Hospital, North Las Vegas, NV, CCN 290058

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: irena.vitkovitsky.1@20515.direct.athenahealth.com

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.

• Cep America - Ohio LLC

  • Emergency Medicine Physician
  • Westerville, OH
  • NPI 1477086346
  Medicare reassignment NPD
• Vituity-Massachusetts PLLC

  • Emergency Medicine Physician
  • Springfield, MA
  • NPI 1083404313
  Medicare reassignment NPD
• Vituity-Nevada Medical Services Koury & Partners PC

  • Emergency Medicine Physician
  • Incline Village, NV
  • NPI 1396585154
  Medicare reassignment NPD
• Cep America - Ohio LLC

  • Emergency Medicine Physician
  • Lewis Center, OH
  • NPI 1306351143
  NPD
• Vituity-Nevada Medical Services Koury & Partners PC

  • Emergency Medicine Physician
  • Henderson, NV
  • NPI 1174363931
  NPD
• Vituity-Nevada Medical Services Koury & Partners PC

  • Emergency Medicine Physician
  • Las Vegas, NV
  • NPI 1669272183
  NPD
• Mount Vernon Emergency Group PC

  • Emergency Medicine Physician
  • Mount Vernon, IL
  • NPI 1447502141
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• De Craig Ranch LLC

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1073329223
  Care Compare affiliation
• De Craig Ranch, LLC

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1457895336
  Care Compare affiliation
• De Craig Ranch, LLC

  • General Acute Care Hospital
  • North Las Vegas, NV
  • NPI 1578007514
  Care Compare affiliation
• De Craig Ranch, LLC

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1740724780
  Care Compare affiliation
• De Craig Ranch, LLC

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1922542968
  Care Compare affiliation
• Dignity Health

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1528101284
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1213747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1982865457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 POWELL ST",
            "address_2": "STE 900",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "946081844",
            "telephone_number": "510-350-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 S EUCLID AVE",
            "address_2": "BOX 8072",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631101010",
            "telephone_number": "314-362-9177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VITKOVITSKY",
        "first_name": "IRENA",
        "middle_name": "VIVIAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-18",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036130034",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "2008015956",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NV",
            "license": "18294",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MA",
            "license": "1024846",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vitality Medical and Wellness Consulting LLC
• Vitality Medical Corp
• Vitality Spine and Sport
• Vitalskin Medical Group Il PLLC
• Vitas Healthcare Corporation Midwest
• Christine Viviano
• Regina L Viviano, CRNA
• Vivid Counseling, LLC
• Vivo Dermatology and Skin Surgery
• Nicholas Y. Viyuoh, MD

• Emergency Medicine Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Emergency Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2025; 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.

Verify at the official NPI Registry.