DR. IRINA GONCHAROVA MD
NPI 1104857465
Surgery - Vascular Surgery in Milwaukee, WI

Q: What is Irina Goncharova's NPI number?

The NPI number for Irina Goncharova is 1104857465. It was assigned to this individual provider in the NPPES registry on July 5, 2006.

Q: What is Irina Goncharova's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Q: When was this NPI record last updated?

The NPPES record for Irina Goncharova was last updated on June 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.

Active since July 05, 2006PECOS EnrolledAccepts Medicare Assignment

2801 W KINNICKINNIC RIVER PKWY, SUITE 485, MILWAUKEE, WI 53215(414) 646-8900 Get Directions Write a Review

NPPES record last updated: June 18, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Irina Goncharova Md NPPES

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

DR. IRINA GONCHAROVA MD (NPI 1104857465) is an individual vascular surgery provider in Milwaukee, Wisconsin, licensed in Wisconsin (49279) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Javon Bea Hospital, and is a graduate of University Of Chicago, Pritzker School Of Medicine (1999).

NPPES Registry Identity

NPI1104857465

Entity TypeIndividualFemale

Primary Taxonomy2086S0129X

Provider Legal NameDR. IRINA GONCHAROVACredential: MD

Location Address2801 W KINNICKINNIC RIVER PKWY, SUITE 485Milwaukee, WI 53215-3669

Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250

Phone(414) 646-8900

Sole ProprietorNo

Medical School CMSUniversity Of Chicago, Pritzker School Of MedicineGraduated 1999

Enumeration DateJuly 5, 2006

Last NPPES UpdateJune 18, 2026

NPPES CertifiedJune 18, 2026

✔ NPI 1104857465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0129X

License✔ Licensed in WI · 49279

Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Also ListedSurgeryTaxonomy 208600000X · License 03611663 (IL)

2801 W KINNICKINNIC RIVER PKWY, Milwaukee, WI 53215

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Other Identifiers 3

Medicaid34885400WI

Other036.111663IL · Ill Lic

Other49279-20WI · Wi Lic

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Irina Goncharova Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7012916968

PECOS Enrollment IDI20240501002920

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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

39 services39 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

30 services22 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Javon Bea Hospital

Acute Care Hospitals · Rockford, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140239

Location8201 E Riverside BlvdRockford, IL 61114 · Winnebago County

Emergency services Birthing friendly

Mercy Health System Corp

Acute Care Hospitals · Janesville, WI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520066

Location1000 Mineral Point AveJanesville, WI 53548 · Rock County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53215 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

CARRIE S BILICKI RN

Registered Nurse

2801 W KINNICKINNIC RIVER PKWY, STE 525
MILWAUKEE, WI 53215

Milwaukee County (414) 385-2630

BRIANNA CECELIA MURPHY PA-C

Physician Assistant

2801 W KINNICKINNIC RIVER PKWY
MILWAUKEE, WI 53215

Milwaukee County (414) 646-9820

DR. PAUL S BERNSTEIN

Internal Medicine (Cardiovascular Disease)

2801 W KINNICKINNIC RIVER PKWY, 840
MILWAUKEE, WI 53215

Milwaukee County (414) 649-3530

DR. PRAKASH D SHAH M.D.

Internal Medicine (Cardiovascular Disease)

2801 W KINNICKINNIC RIVER PKWY, STE 840
MILWAUKEE, WI 53215

Milwaukee County (414) 649-3530

M CHRISTINE GIEBEL PA-C

Physician Assistant

2801 W KINNICKINNIC RIVER PKWY, SUITE 345
MILWAUKEE, WI 53215

Milwaukee County (414) 385-2700

ROBERT A. DIULIO M.D.

Orthopaedic Surgery

2801 W KINNICKINNIC RIVER PKWY, SUITE 575
MILWAUKEE, WI 53215

Milwaukee County (414) 643-8800

CHRISTINE A KENYON LAUNDRE M.D.

Anesthesiology

2801 W KINNICKINNIC RIVER PKWY, SUITE 453
MILWAUKEE, WI 53215

Milwaukee County (414) 385-2380

JODI L ZILINSKI M.D.

Internal Medicine (Clinical Cardiac Electrophysiology)

2801 W KINNICKINNIC RIVER PKWY, SUITE 777
MILWAUKEE, WI 53215

Milwaukee County (414) 649-3390

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 Goncharova's NPI number?

The NPI number for Irina Goncharova is 1104857465. It was assigned to this individual provider in the NPPES registry on July 5, 2006.

Where is Irina Goncharova located?

Irina Goncharova practices at 2801 W Kinnickinnic River Pkwy Suite 485, Milwaukee, WI 53215. The listed phone number is (414) 646-8900.

What is Irina Goncharova's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is Irina Goncharova enrolled in Medicare?

Yes. Irina Goncharova is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Irina Goncharova accept?

Health plans from Anthem Blue Cross and Blue Shield, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and MercyCare Health Plans list Irina Goncharova as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Irina Goncharova affiliated with any hospitals?

According to CMS data, Irina Goncharova is affiliated with Javon Bea Hospital and Mercy Health System Corp.

When was this NPI record last updated?

The NPPES record for Irina Goncharova was last updated on June 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.