IRINA KANZAFAROVA MD
NPI 1003487406
Student in an Organized Health Care Education/Training Program in Rochester, NY

Active since July 07, 2021PECOS Enrolled
601 ELMWOOD AVE, ROCHESTER, NY 14642(585) 273-1745 Get Directions Write a Review

NPPES record last updated: December 6, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 6, 2023, Jul 7, 2021 (2 updates tracked since 2021).

About Irina Kanzafarova Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IRINA KANZAFAROVA MD (NPI 1003487406) is an individual student in an organized health care education/training program in Rochester, New York and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003487406
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameIRINA KANZAFAROVACredential: MD
Location Address601 ELMWOOD AVERochester, NY 14642-0001
Mailing Address60 Crittenden Blvd Apt 526Rochester, NY 14620-4034 · (507) 779-2830
Sole ProprietorNo
Enumeration DateJuly 7, 2021
Last NPPES UpdateDecember 6, 20232 updates tracked since enumeration
NPPES CertifiedDecember 6, 2023
NPI 1003487406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedSurgeryTaxonomy 208600000X · License 31726 (MN)
601 ELMWOOD AVE, Rochester, NY 14642

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Irina Kanzafarova Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
601 ELMWOOD AVE
ROCHESTER, NY 14642
Pediatrics (Neonatal-Perinatal Medicine)
601 ELMWOOD AVE, BOX 635
ROCHESTER, NY 14642
Radiology (Diagnostic Radiology)
601 ELMWOOD AVE, BOX 648
ROCHESTER, NY 14642
Nurse Practitioner (Family)
601 ELMWOOD AVE, BOX 652
ROCHESTER, NY 14642
Urology (Pediatric Urology)
601 ELMWOOD AVE, BOX 656
ROCHESTER, NY 14642
Nurse Practitioner (Adult Health)
601 ELMWOOD AVE, BOX 704
ROCHESTER, NY 14642
Student in an Organized Health Care Education/Training Program
601 ELMWOOD AVE, BOX 705
ROCHESTER, NY 14642
Radiology (Diagnostic Radiology)
601 ELMWOOD AVE
ROCHESTER, NY 14642

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Irina Kanzafarova's NPI number?

The NPI number for Irina Kanzafarova is 1003487406. It was assigned to this individual provider in the NPPES registry on July 7, 2021.

Where is Irina Kanzafarova located?

Irina Kanzafarova practices at 601 Elmwood Ave, Rochester, NY 14642. The listed phone number is (585) 273-1745.

What is Irina Kanzafarova's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Irina Kanzafarova enrolled in Medicare?

Yes. Irina Kanzafarova is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Irina Kanzafarova was last updated on December 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.