Active NPI
Amel Komic, M.D.
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Andover, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- 04-52512
- Practice address
- 2237 Keystone Cir
Andover, KS 67002-8742 - Phone
- (316) 616-6272
- Fax
- (316) 616-0407
- NPI assigned
- Jun 30, 2015
- Last updated
- May 7, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | MD493544 | PA | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 04-52512 | KS | Primary |
Addresses
Primary practice location
2237 Keystone Cir
Andover, KS 67002-8742
Mailing address
1120 15TH St
Augusta, GA 30912-0004
Phone (706) 721-2503
Other practice location 1
252 S 4th St Fl 2
Lebanon, PA 17042-6111
Phone (717) 270-3751
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, TN, KS, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Thoracic Surgery
- Education
- Other, 2015
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
2237 Keystone Cir
Andover, KS 67002-8742
Phone (316) 616-6272
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary artery bypass graft (CABG) | 1-10 |
| Pacemaker insertion or repair | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-52512 | KS | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
| MD493544 | PA | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Specialty Physician Group LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Current | Accepting new patients |
| Cedar Surgical LLC | Surgery | Current | Accepting new patients |
Locations
2237 Keystone Cir
Andover, KS 67002
Phone (316) 616-6272
1325 Eastmoreland Ave
Ste 365
Memphis, TN 38104
Phone (901) 272-6018
7460 Wolf River Blvd
Memphis, TN 38138
Phone (901) 516-6792
7655 Poplar Ave
Ste 350
Memphis, TN 38138
Phone (901) 759-3447
Interoperability endpoints
- https://app.meldrx.com/api/fhir/gemms-ced01
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Andover, KS
- NPI 1336289123
-
- Cardiovascular Disease Physician
- Germantown, TN
- NPI 1174842181
Thoracic Surgery (Cardiothoracic Vascular Surgery)
-
dba WellSpan Digestive Health
- Gastroenterology Physician
- York, PA
- NPI 1669770004
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Andover, KS
- NPI 1255380127
-
- General Acute Care Hospital
- Memphis, TN
- NPI 1578527172
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778112000000",
"number": "1245613041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1120 15TH ST",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309120004",
"telephone_number": "706-721-2503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2237 KEYSTONE CIR",
"city": "ANDOVER",
"state": "KS",
"postal_code": "670028742",
"telephone_number": "316-616-6272",
"fax_number": "316-616-0407"
}
],
"practiceLocations": [
{
"address_1": "252 S 4th St Fl 2",
"address_purpose": "LOCATION",
"city": "Lebanon",
"state": "PA",
"postal_code": "170426111",
"country_code": "US",
"telephone_number": "717-270-3751",
"fax_number": "717-270-3754",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOMIC",
"first_name": "AMEL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-30",
"last_updated": "2026-05-07",
"certification_date": "2026-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "PA",
"license": "MD493544",
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "KS",
"license": "04-52512",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Andover, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.
- 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.