Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Dr. Irina Goncharova, MD

Vascular Surgery Physician in Milwaukee, WI · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104857465

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Registry record

Entity type Individual (Type 1)

Name Dr. Irina Goncharova

Credential MD

Sex Female

Practice address 2801 W Kinnickinnic River Pkwy, Suite 485, Milwaukee, WI, 53215

Phone (414) 646-8900

Enumeration date Jul 5, 2006

Last updated in NPPES Jun 18, 2026

Taxonomy & licenses

2086S0129X Vascular Surgery Physician Allopathic & Osteopathic Physicians · License 49279 (WI) Primary

208600000X Surgery Physician Allopathic & Osteopathic Physicians · License 03611663 (IL) Secondary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
34885400	Medicaid	WI	-
036.111663	Other	IL	ILL LIC
49279-20	Other	WI	WI LIC

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Irina Goncharova practice?

The practice location on file with NPPES is in Milwaukee, WI. Providers can have multiple locations; NPPES lists the primary practice address.

What is the NPI number for Irina Goncharova?

The National Provider Identifier (NPI) for Irina Goncharova is 1104857465, a Type 1 (individual) record in the CMS NPPES registry.

Other providers at this practice address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-06-18.