Individual provider Active NPI

Christopher Bernard Komanapalli, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Tucson, AZ
National Provider Identifier
1194894519
Registry record updated May 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
MD-40188 Issued in IA
Practice address
1625 N Campbell Ave
Tucson, AZ 85719-4330
Phone
(520) 694-8888
Fax
(520) 505-2476
NPI assigned
Nov 7, 2006
Last updated
May 12, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X MD-40188 IA Primary

Addresses

Primary practice location

1625 N Campbell Ave
Tucson, AZ 85719-4330

Mailing address

1625 N Campbell Ave
Tucson, AZ 85719-4330
Phone (520) 694-8888

Other practice location 1

1215 Pleasant St
Suite 618
Des Moines, IA 50309
Phone (515) 875-9090

Other identifiers 2

IdentifierTypeStateIssuer
1194894519MedicaidIA
59976OtherAZARIZONA MEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, WI, AZ, CO4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20120706000275 IA Practitioner - Cardiac SurgeryPractitioner - Thoracic Surgery 8022201789 Reassigns benefits to 1 organization
I20190826001019 WI Practitioner - Thoracic SurgeryPractitioner - General SurgeryPractitioner - Cardiac Surgery 8022201789 Reassigns benefits to 1 organization
I20211019003253 AZ Practitioner - Thoracic SurgeryPractitioner - Cardiovascular Disease (Cardiology) 8022201789 Reassigns benefits to 2 organizations
I20220824003549 CO Practitioner - Thoracic Surgery 8022201789 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Thoracic SurgeryAlso: Cardiovascular Disease (Cardiology)
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Banner-University Medical GroupGroup PAC ID 7719899871, 1,066 clinicians

Practice addresses (Care Compare)

3533 Canyon de Flores
Suite C
Sierra Vista, AZ 85650-5366
Phone (520) 458-2000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-40188IAMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Iowa Hospital Corporation CurrentSince Aug 1, 2012 Accepting new patients
St Luke's Methodist Hospital Current Accepting new patients
Mercy Health System Corporation Current Accepting new patients
Central Iowa Hospital Corporation Family Medicine CurrentSince Aug 1, 2012 Accepting new patients
Intermountain Medical Group Grand Junction, LLC Family Medicine Current Accepting new patients
Banner-University Medical Group Family Medicine CurrentSince Mar 1, 2025 Accepting new patients
Mercy Health System Corporation CurrentSince Jul 14, 2019 Accepting new patients
Intermountain Medical Group Grand Junction, LLC CurrentSince Jul 18, 2022 Accepting new patients
Mercy Health System Corporation CurrentSince Jul 14, 2019 Accepting new patients
Intermountain Medical Group Grand Junction, LLC CurrentSince Jul 18, 2022 Accepting new patients
Pima Heart Physicians, PC Thoracic Surgery (Cardiothoracic Vascular Surgery) Past Accepting new patients
Banner - University Medical Center Tucson Campus LLC Past Accepting new patients
West Florida Cardiology Physicians, LLC PastSince Mar 8, 2020 Accepting new patients
Boone County Hospital Past Accepting new patients
St Mary's Hospital and Medical Center, Inc Past Accepting new patients

Locations

3533 Canyon de Flores
Ste C
Sierra Vista, AZ 85650
Phone (520) 458-2000

1625 N Campbell Ave
Tucson, AZ 85719

2800 E Ajo Way
Tucson, AZ 85713
Phone (520) 294-4471

3838 N Campbell Ave
Bldg 1
Tucson, AZ 85719
Phone (520) 694-2873

3838 N Campbell Ave
Bldg 2
Tucson, AZ 85719

500 Eldorado Blvd
Ste 4300
Broomfield, CO 80021

1050 Wellington Ave
Grand Junction, CO 81501
Phone (970) 245-4810

1050 Wellington Ave
Slp Ctr
Grand Junction, CO 81501
Phone (970) 298-5864

2643 Patterson Rd
Ste 403
Grand Junction, CO 81506
Phone (970) 298-7662

410 NW Ash Dr
Ankeny, IA 50023
Phone (515) 964-1101

1215 Pleasant St
Ste 300
Des Moines, IA 50309
Phone (515) 241-6178

1215 Pleasant St
Ste 618
Des Moines, IA 50309
Phone (515) 875-9090

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

1000 Mineral Point Ave
Janesville, WI 53548
Phone (608) 261-6868

Interoperability endpoints

  • Direct secure messaging: ckomanapalli85470@direct.unitypoint.org

Organizations & group practices 16

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.

View all 16

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": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747008000000",
    "number": "1194894519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 N CAMPBELL AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857194330",
            "telephone_number": "520-694-8888",
            "fax_number": "520-505-2476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 N CAMPBELL AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857194330",
            "telephone_number": "520-694-8888",
            "fax_number": "520-505-2476"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1215 Pleasant St",
            "address_2": "Suite 618",
            "address_purpose": "LOCATION",
            "city": "Des Moines",
            "state": "IA",
            "postal_code": "50309",
            "country_code": "US",
            "telephone_number": "515-875-9090",
            "fax_number": "515-241-5041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOMANAPALLI",
        "first_name": "CHRISTOPHER",
        "middle_name": "BERNARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "IA",
            "license": "MD-40188",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1194894519",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA MEDICAL LICENSE",
            "identifier": "59976",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.