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DR. IRENE DMITRUK DO
NPI 1861703399
Emergency Medicine in Saint John, IN

Active since June 30, 2010PECOS EnrolledAccepts Medicare Assignment
9660 WICKER AVE, SAINT JOHN, IN 46373(219) 365-1177(219) 703-6662 Get Directions Write a Review

NPPES record last updated: December 21, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Irene Dmitruk Do NPPES

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

DR. IRENE DMITRUK DO (NPI 1861703399) is an individual emergency medicine provider in Saint John, Indiana, licensed in Illinois (02003817A) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS, is affiliated with St Mary Medical Center Inc, and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1861703399
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameDR. IRENE DMITRUKCredential: DO
Location Address9660 WICKER AVESaint John, IN 46373-9487
Mailing Address8558 BroadwayMerrillville, IN 46410-7032 · (201) 961-2477
Phone(219) 365-1177
Fax(219) 703-6662
Sole ProprietorYes
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2008
Enumeration DateJune 30, 2010
Last NPPES UpdateDecember 21, 2020
NPPES CertifiedDecember 21, 2020
✔ NPI 1861703399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in IL · 02003817A✔ Licensed in IN · 11014502A
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.
9660 WICKER AVE, Saint John, IN 46373
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Secondary Practice Location 1

Location 11632 S Indiana Ave, #307Chicago, IL 60616-1387 · Phone (201) 961-2477

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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. Irene Dmitruk Do 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 ID5597938423
PECOS Enrollment IDI20111109000343
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.

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.
710 services641 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.
122 services120 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.
76 services76 patients

Hospital Affiliations CMS Care Compare

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

St Mary Medical Center Inc

Acute Care Hospitals · Hobart, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150034
Location1500 S Lake Park AveHobart, IN 46342 · Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46373 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$16.30 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MARGARITA VEGA-SUAREZ FNP-C
Nurse Practitioner (Family)
9660 WICKER AVE, 2ND FL
SAINT JOHN, IN 46373
Lake County (219) 703-2417
DR. TASHA M HARRIS MD
Emergency Medicine
9660 WICKER AVE
ST. JOHN, IN 46373
Lake County (219) 365-7620
SAADUDDIN MOHAMMED SIDDIQUI MD
Emergency Medicine
9660 WICKER AVE
SAINT JOHN, IN 46373
Lake County (219) 365-1177
MUNSTER ORTHOPAEDIC INSTITUTE, LLC
Orthopaedic Surgery
9660 WICKER AVE
SAINT JOHN, IN 46373
Lake County (219) 677-4940
MS. ALICIA FOWLER NP-C
Nurse Practitioner (Family)
9660 WICKER AVE
SAINT JOHN, IN 46373
Lake County (219) 365-1177
MUNSTER ORTHOPAEDIC INSTITUTE, LLC
Durable Medical Equipment & Medical Supplies
9660 WICKER AVE
SAINT JOHN, IN 46373
Lake County (219) 836-2225
ALONZO KEVIN MORRISSEY MD
Family Medicine
9660 WICKER AVE
ST JOHN, IN 46373
Lake County (219) 365-1166
MARNE J JUESTEL FNP
Nurse Practitioner
9660 WICKER AVE
SAINT JOHN, IN 46373
Lake County (219) 365-1177

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 Irene Dmitruk's NPI number?

The NPI number for Irene Dmitruk is 1861703399. It was assigned to this individual provider in the NPPES registry on June 30, 2010.

Where is Irene Dmitruk located?

Irene Dmitruk practices at 9660 Wicker Ave, Saint John, IN 46373. The listed phone number is (219) 365-1177.

What is Irene Dmitruk's specialty?

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

Is Irene Dmitruk enrolled in Medicare?

Yes. Irene Dmitruk 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 Irene Dmitruk accept?

Health plans from CareSource list Irene Dmitruk 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 Irene Dmitruk affiliated with any hospitals?

According to CMS data, Irene Dmitruk is affiliated with St Mary Medical Center Inc.

When was this NPI record last updated?

The NPPES record for Irene Dmitruk was last updated on December 21, 2020. 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.