Shyam Komandur, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

96-00975 Issued in NC

Practice address

101 Robeson St
Suite 300
Fayetteville, NC 28301-5552

Phone

(910) 609-1616

Fax

(910) 609-1619

NPI assigned

Aug 22, 2005

Sex

Male

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)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/7645/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1184616583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 41209",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283091209",
            "telephone_number": "910-609-6448",
            "fax_number": "910-609-7040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 ROBESON ST",
            "address_2": "SUITE 300",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283015552",
            "telephone_number": "910-609-1616",
            "fax_number": "910-609-1619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOMANDUR",
        "first_name": "SHYAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-22",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "96-00975",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8950040",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emmanuel Ebuka Kokori, M.D.
• Olajide L Kolawole, P.T.
• Olasunkanmi Abimbola Kolawole, MD,MPH
• Sandra Kolb, NP
• Patrick Kolstee
• Mabel Aye Aye Myaing Kong
• Monica Koo, PHARMD
• Domonique Battle Koomson
• Stacey Renee Koonce, RN
• Zoe Korcz

• Pediatrics Physician in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Pediatrics Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.