Ignatius Komninakas, M.D.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

037665 Issued in CT

Practice address

2 Trap Falls Rd Ste 404
Shelton, CT 06484-7622

Phone

(203) 734-7900

Fax

(203) 513-3269

NPI assigned

Jun 30, 2005

Last updated

Jan 16, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Orthopedic Surgery

Education

St. Louis College of Physicians and Surgeons, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Valley Orthopaedic Specialists, LLC.Group PAC ID 1951299122, 12 clinicians

Rehabilitation Associates IncGroup PAC ID 8022905322, shared by 2 NPIs, 525 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Elara Caring Home health agency, Rocky Hill, CT, CCN 077163
• Griffin Hospital Hospital, Derby, CT, CCN 070031

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Valley Orthopaedic Specialists LLC

  • Specialist
  • Shelton, CT
  • NPI 1083794796
  Medicare reassignment Care Compare group
• Valley Orthopaedic Specialists, LLC

  • Durable Medical Equipment & Medical Supplies
  • Oxford, CT
  • NPI 1154505733
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• New England Home Care Inc.

  dba Elara Caring

  • Home Health Agency
  • Rocky Hill, CT
  • NPI 1255333597
  Care Compare affiliation
• The Griffin Hospital

  • General Acute Care Hospital
  • Derby, CT
  • NPI 1184639973
  Care Compare affiliation

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547596800000",
    "number": "1164429619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 TRAP FALLS RD STE 404",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064847622",
            "telephone_number": "203-734-7900",
            "fax_number": "203-513-3269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 TRAP FALLS RD STE 404",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064847622",
            "telephone_number": "203-734-7900",
            "fax_number": "203-513-3269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOMNINAKAS",
        "first_name": "IGNATIUS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-30",
        "last_updated": "2019-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CT",
            "license": "037665",
            "primary": true
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "CT",
            "license": "037655",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001376658",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Serena Klein, APRN
• Sarah Knauf, APRN
• Kerry Knop, PT
• Jacen Knowlton, CRNA
• Christina Komninakas, ST
• Murugesapillai Koneswaran, MD
• Saroja Koneswaran, MD
• Janice Ann Kozlowski, LMFT
• Krishnani Corporation (Medicine Shoppe)
• Samantha Krupa, DPT

• Orthopaedic Surgery Physician in Shelton, CT
• Providers in Shelton, CT by specialty
• Orthopaedic Surgery Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.