IRINA MIRONOVA
NPI 1619408564
Emergency Medicine in Brooklyn, NY

Active since March 22, 2017PECOS EnrolledAccepts Medicare Assignment
4802 10TH AVE, BROOKLYN, NY 11219(347) 277-3300 Get Directions Write a Review

NPPES record last updated: May 12, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 12, 2021, Mar 29, 2017, Mar 22, 2017 (3 updates tracked since 2017).

About Irina Mironova NPPES

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

IRINA MIRONOVA (NPI 1619408564) is an individual emergency medicine provider in Brooklyn, New York, licensed in New York (305753) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, is affiliated with Mease Countryside Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1619408564
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameIRINA MIRONOVA
Location Address4802 10TH AVEBrooklyn, NY 11219-2916
Mailing Address6641 Bergen PlBrooklyn, NY 11220-4825 · (347) 277-3300
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMarch 22, 2017
Last NPPES UpdateMay 12, 20213 updates tracked since enumeration
NPPES CertifiedMay 12, 2021
✔ NPI 1619408564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in NY · 305753
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
4802 10TH AVE, Brooklyn, NY 11219

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Irina Mironova 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 ID3678818614
PECOS Enrollment IDI20220118000867
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 Reassignments

2

Medicare enrollment records show Irina Mironova reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
4802 10TH AVE
Brooklyn, NY 11219
  • Reassigned Medicare billing, New York enrollment
  • 189 clinicians in this Medicare group
Emergency Medicine
3231 MCMULLEN BOOTH RD
Safety Harbor, FL 34695
  • Reassigned Medicare billing, Florida enrollment
  • 28 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
290 services282 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
79 services79 patients
Electrocardiogram (ecg) 1 to 3 leads with review by physician only 93042
An Electrocardiogram (ECG) is a non-invasive test that records the electrical activity of your heart. 1 to 3 leads or sensors are placed on your body to capture this data. A physician then reviews the results to evaluate your heart's health.
55 services54 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
28 services28 patients

Hospital Affiliations CMS Care Compare

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

Mease Countryside Hospital

Acute Care Hospitals · Safety Harbor, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100265
Location3231 Mcmullen Booth RdSafety Harbor, FL 34695 · Pinellas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11219 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

Legal Medicine
4802 10TH AVE
BROOKLYN, NY 11219
Nurse Practitioner (Psychiatric/Mental Health)
4802 10TH AVE
BROOKLYN, NY 11219
Student in an Organized Health Care Education/Training Program
4802 10TH AVE
BROOKLYN, NY 11219
Student in an Organized Health Care Education/Training Program
4802 10TH AVE
BROOKLYN, NY 11219
Student in an Organized Health Care Education/Training Program
4802 10TH AVE
BROOKLYN, NY 11219
Student in an Organized Health Care Education/Training Program
4802 10TH AVE
BROOKLYN, NY 11219
Nurse Practitioner (Family)
4802 10TH AVE, PRE-TESTING
BROOKLYN, NY 11219
Internal Medicine (Infectious Disease)
4802 10TH AVE
BROOKLYN, NY 11219

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 Mironova's NPI number?

The NPI number for Irina Mironova is 1619408564. It was assigned to this individual provider in the NPPES registry on March 22, 2017.

Where is Irina Mironova located?

Irina Mironova practices at 4802 10th Ave, Brooklyn, NY 11219. The listed phone number is (347) 277-3300.

What is Irina Mironova's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Irina Mironova enrolled in Medicare?

Yes. Irina Mironova 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.

Which organizations bill Medicare for Irina Mironova's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Irina Mironova reassigns Medicare benefits to 2 organizations: Maimonides Medical Center - Mmc Emergency Physicians Fpp (Brooklyn, NY) and Coastline Emergency Physicians LLC (Safety Harbor, FL). Each 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 Mironova's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Irina Mironova accept?

Health plans from Cigna HealthCare of Florida, Inc. and Cigna Healthcare list Irina Mironova 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 Mironova affiliated with any hospitals?

According to CMS data, Irina Mironova is affiliated with Mease Countryside Hospital.

When was this NPI record last updated?

The NPPES record for Irina Mironova was last updated on May 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.