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IRINA KOMISSAROVA
NPI 1871119172
Internal Medicine in Chicago, IL

Active since June 22, 2020PECOS EnrolledAccepts Medicare Assignment
916 S OAKLEY BLVD, CHICAGO, IL 60612(312) 978-2039 Get Directions Write a Review

NPPES record last updated: June 22, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Irina Komissarova NPPES

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

IRINA KOMISSAROVA (NPI 1871119172) is an individual internal medicine provider in Chicago, Illinois, licensed in Illinois (125075418) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1871119172
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameIRINA KOMISSAROVA
Location Address916 S OAKLEY BLVDChicago, IL 60612-4230
Mailing Address916 S Oakley BlvdChicago, IL 60612-4230 · (312) 978-2039
Phone(312) 978-2039
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateJune 22, 2020
NPPES CertifiedJune 22, 2020
✔ NPI 1871119172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IL · 125075418
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
916 S OAKLEY BLVD, Chicago, IL 60612
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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 Komissarova 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 ID1557722477
PECOS Enrollment IDI20230725002161
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 Komissarova reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Galen Inpatient Physicians Inc.
1,663 mi
Internal Medicine
1150 N INDIAN CANYON DR
Palm Springs, CA 92262
  • Reassigned Medicare billing, California enrollment
  • 962 clinicians in this Medicare group
NPI 1316037021 (760) 323-6511

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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
942 services321 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
179 services174 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
114 services61 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
53 services53 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
27 services26 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60612 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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.

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 Komissarova's NPI number?

The NPI number for Irina Komissarova is 1871119172. It was assigned to this individual provider in the NPPES registry on June 22, 2020.

Where is Irina Komissarova located?

Irina Komissarova practices at 916 S Oakley Blvd, Chicago, IL 60612. The listed phone number is (312) 978-2039.

What is Irina Komissarova's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Irina Komissarova enrolled in Medicare?

Yes. Irina Komissarova 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 organization bills Medicare for Irina Komissarova's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Irina Komissarova reassigns Medicare benefits to Galen Inpatient Physicians Inc. (Palm Springs, CA). 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 Komissarova'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 Komissarova was last updated on June 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.