Active NPI
Komal Bajaj, MD
- Obstetrics & Gynecology Physician
- Bronx, NY
National Provider Identifier
1205009628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 248090
- Practice address
- 1400 Pelham Pkwy S # 1BS16
Bronx, NY 10461-1119 - Phone
- (718) 918-5000
- NPI assigned
- Apr 7, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 036118200 | IL | |
| Obstetrics & Gynecology Physician | 207V00000X | 248090 | NY | Primary |
| Obstetrics Physician | 207VX0000X | 248090 | NY |
Addresses
Primary practice location
1400 Pelham Pkwy S # 1BS16
Bronx, NY 10461-1119
Mailing address
2649 Strang Blvd Ste 304
Yorktown Heights, NY 10598-2938
Phone (630) 728-9524
Other practice location 1
5645 Main St
Flushing, NY 11355-5045
Phone (718) 670-2000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 248090 | Other | NY | NYS MEDICAL LICENSE |
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/ | Health Information Exchange (HIE) | |
| Direct Messaging Address | rtn9006@direct.nyp | Direct | |
| FHIR URL | https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220322000087 | NY | Order and Referring Only - Obstetrics/Gynecology | 9234269234 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036118200 | IL | MD | Obstetrics & Gynecology Physician |
| 248090 | NY | MD | Obstetrics Physician |
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
Interoperability endpoints
- kbajaj839219@nychhc.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787616000000",
"number": "1205009628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2649 STRANG BLVD STE 304",
"city": "YORKTOWN HEIGHTS",
"state": "NY",
"postal_code": "105982938",
"telephone_number": "630-728-9524",
"fax_number": "718-918-6318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 PELHAM PKWY S # 1BS16",
"city": "BRONX",
"state": "NY",
"postal_code": "104611119",
"telephone_number": "718-918-5000"
}
],
"practiceLocations": [
{
"address_1": "5645 Main St",
"address_purpose": "LOCATION",
"city": "Flushing",
"state": "NY",
"postal_code": "113555045",
"country_code": "US",
"telephone_number": "718-670-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAJAJ",
"first_name": "KOMAL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-07",
"last_updated": "2026-08-25",
"certification_date": "2026-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "IL",
"license": "036118200",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NY",
"license": "248090",
"primary": true
},
{
"code": "207VX0000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Obstetrics",
"state": "NY",
"license": "248090",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NYS MEDICAL LICENSE",
"identifier": "248090",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "FHIR",
"address_1": "5645 Main St",
"city": "Flushing",
"state": "NY",
"country_code": "US",
"postal_code": "113555045",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rtn9006@direct.nyp",
"affiliation": "N",
"endpointDescription": "Direct Address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Direct Address",
"address_1": "5645 Main St",
"city": "Flushing",
"state": "NY",
"country_code": "US",
"postal_code": "113555045",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "FHIR",
"address_1": "5645 Main St",
"city": "Flushing",
"state": "NY",
"country_code": "US",
"postal_code": "113555045",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.