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IRINA GORBOUNOVA M.D.
NPI 1235588245
Pediatrics - Pediatric Gastroenterology in Providence, RI

Active since June 09, 2016PECOS Enrolled
593 EDDY ST, PROVIDENCE, RI 02903(401) 444-6195(401) 444-6378 Get Directions Write a Review

NPPES record last updated: October 13, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Irina Gorbounova M.d. NPPES

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

IRINA GORBOUNOVA M.D. (NPI 1235588245) is an individual pediatric gastroenterology provider in Providence, Rhode Island, licensed in Rhode Island (MD18598) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1235588245
Entity TypeIndividualFemale
Primary Taxonomy2080P0206X
Provider Legal NameIRINA GORBOUNOVACredential: M.D.
Location Address593 EDDY STProvidence, RI 02903-4923
Mailing Address117 Ellenfield St Ste 101Providence, RI 02905-4541 · (401) 444-6779 · Fax (401) 444-6912
Phone(401) 444-6195
Fax(401) 444-6378
Sole ProprietorNo
Enumeration DateJune 9, 2016
Last NPPES UpdateOctober 13, 2022
NPPES CertifiedOctober 13, 2022
✔ NPI 1235588245 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0206X
License✔ Licensed in RI · MD18598
Definition
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
593 EDDY ST, Providence, RI 02903
Open in Google Maps ↗

Secondary Practice Location 1

Location 11 Gustave L Levy Pl # 1512New York, NY 10029-6504 · Phone (212) 241-6934

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Irina Gorbounova M.d. 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.

Medicare Billing Reassignment

Medicare enrollment records show Irina Gorbounova reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Rhode Island Hospital
Same address
Pediatrics
593 EDDY ST
Providence, RI 02903
  • Reassigned Medicare billing, Rhode Island enrollment
  • 265 clinicians in this Medicare group
NPI 1861420333 (401) 444-6195

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02903 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
$134.17 typical visit price
range $58.57 – $177.03
Typical copayment $33.54 (range $14.64 – $44.25)
Most-billed visit code 99204
Established Patient
$103.10 typical visit price
range $18.92 – $144.38
Typical copayment $25.77 (range $4.73 – $36.09)
Most-billed visit code 99214
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.

DR. KEITH-AUSTIN SCARFO D.O.
Anesthesiology
593 EDDY ST, APC 6
PROVIDENCE, RI 02903
Providence County (401) 444-3777
AILEEN HSUEH
Surgery
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 444-8450
RHODE ISLAND HOSPITAL
General Acute Care Hospital
593 EDDY ST, MAIN 4
PROVIDENCE, RI 02903
Providence County (401) 444-7585
DR. GA HIE NAM M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 444-5057
EUGENIE ATALLAH
Psychiatry & Neurology (Neurology)
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 606-2645
BRET CAULFIELD
Physician Assistant
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 444-4000
JUNG HO GONG
Student in an Organized Health Care Education/Training Program
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 793-2695
FANNY HUANG MD
Student in an Organized Health Care Education/Training Program
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 444-4741

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 Gorbounova's NPI number?

The NPI number for Irina Gorbounova is 1235588245. It was assigned to this individual provider in the NPPES registry on June 9, 2016.

Where is Irina Gorbounova located?

Irina Gorbounova practices at 593 Eddy St, Providence, RI 02903. The listed phone number is (401) 444-6195.

What is Irina Gorbounova's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Is Irina Gorbounova enrolled in Medicare?

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

Which organization bills Medicare for Irina Gorbounova's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Irina Gorbounova reassigns Medicare benefits to Rhode Island Hospital (Providence, RI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Irina Gorbounova's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Irina Gorbounova was last updated on October 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.