Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Irina Kimyagarova, DO

Individual provider Family Medicine Physician · NPI 1275776650

Irina Kimyagarova, DO is a Family Practice in Rego Park, New York. Graduated from New York College of Osteo Medicine of New York Institute of Technology in 1999, 27 years ago. Practices with Medex Diagnostic and Treatment Center LLC, a 26-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
27
Trained at
New York College of Osteo Medicine of New York Institute of Technology
Licensed in
NY
In the registry since
2009
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

9424 63rd Dr
Rego Park, NY 11374-2028
Phone: (917) 977-1107
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 222382-1 (NY)

Record details

NPI number1275776650
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorYes
NPI enumeratedApril 14, 2009
Last updated in NPPESApril 14, 2009

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Also practisesOSTEOPATHIC MANIPULATIVE MEDICINE
Medical schoolNEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated 1999 (27 years in practice)
Group practice Medex Diagnostic And Treatment Center Llc — 26 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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