Individual provider Active NPI

Irene I Komarynsky, MD

  • Obstetrics & Gynecology Physician
  • Stamford, CT
National Provider Identifier
1174728232
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
027059 Issued in CT
Practice address
166 W Broad St
Suite 301
Stamford, CT 06902
Phone
(203) 325-9920
Fax
(203) 359-3528
NPI assigned
Jun 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 027059 CT Primary

Addresses

Primary practice location

166 W Broad St
Suite 301
Stamford, CT 06902

Mailing address

166 W Broad St
Suite 301
Stamford, CT 06902
Phone (203) 325-9920

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20101112001071 CT Practitioner - Obstetrics/Gynecology 8123213386 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Chicago, Pritzker School of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Obhg Connecticut PCGroup PAC ID 5890164792, 8 clinicians

Practice addresses (Care Compare)

100 Grand St
New Britain, CT 06052-2016
Phone (864) 908-3530

Hospital & facility affiliations

  • The Hospital of Central Connecticut Hospital, New Britain, CT, CCN 070035

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
027059CTMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Hospital of Central Connecticut at New Britain General and Bradley CurrentSince Mar 1, 2025 Accepting new patients
The Hospital of Central Connecticut at New Britain General and Bradley Obstetrics & Gynecology CurrentSince Mar 1, 2025 Accepting new patients
Obhg Connecticut PC Obstetrics & Gynecology CurrentSince Dec 2, 2024 Accepting new patients

Locations

100 Grand St
Fl 1
New Britain, CT 06052
Phone (860) 224-5011

100 Grand St
New Britain, CT 06052
Phone (860) 224-5011

34 Maple St
Norwalk, CT 06850
Phone (203) 852-2000

777 Lowndes Hill Rd
Bldg 1
Greenville, SC 29607
Phone (864) 908-3736

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174728232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 W BROAD ST",
            "address_2": "SUITE 301",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "06902",
            "telephone_number": "203-325-9920",
            "fax_number": "203-359-3528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 W BROAD ST",
            "address_2": "SUITE 301",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "06902",
            "telephone_number": "203-325-9920",
            "fax_number": "203-359-3528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOMARYNSKY",
        "first_name": "IRENE",
        "middle_name": "I",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CT",
            "license": "027059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

Verify at the official NPI Registry.