Katherine L Komendowski, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

104911 Issued in MO

Practice address

226 S Woods Mill Rd
Ste 36W
Chesterfield, MO 63017-3662

Phone

(314) 453-9666

Fax

(314) 453-9895

NPI assigned

Aug 14, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Woods Mill Pediatric and Adolescent Medicine, LLC

  • Pediatrics Physician
  • Chesterfield, MO
  • NPI 1538374384
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560384000000",
    "number": "1013920925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 S WOODS MILL RD",
            "address_2": "STE 36W",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173662",
            "telephone_number": "314-453-9666",
            "fax_number": "314-453-9895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 S WOODS MILL RD",
            "address_2": "STE 36W",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173662",
            "telephone_number": "314-453-9666",
            "fax_number": "314-453-9895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOMENDOWSKI",
        "first_name": "KATHERINE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-14",
        "last_updated": "2019-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "104911",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "204852602",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Meghan Koennecke, DMD
• Rebecca Koerner
• Amber Leigh Koester, O.D.
• Richard L Kofkoff, MD
• Natalie Mae Kohlmeier, AGACNP
• April Dawn Koontz, PHD
• Michael Andrew Kopec, M.D.
• Mark Charles Kory, M.D.
• Kurt Koth, CRNA
• Meghashyam Jayateerth Koti, MD

• Pediatrics Physician in Chesterfield, MO
• Providers in Chesterfield, MO by specialty
• Pediatrics Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.