Individual provider Active NPI

Amel Komic, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Andover, KS
National Provider Identifier
1245613041
Registry record updated May 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
04-52512 Issued in KS
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, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, PA4 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
I20241213000492 GA Practitioner - Thoracic Surgery 6901196047
I20260202001768 TN Practitioner - Thoracic Surgery 6901196047 Reassigns benefits to 1 organization
I20260210004244 KS Practitioner - Thoracic Surgery 6901196047 Reassigns benefits to 1 organization
I20260520003788 PA Practitioner - Thoracic Surgery 6901196047 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Thoracic Surgery
Education
Other, 2015
Medicare assignment
May accept Medicare assignment
Group practices
Cedar Surgical LLCGroup PAC ID 2365546835, 5 clinicians

Practice addresses (Care Compare)

2237 Keystone Cir
Andover, KS 67002-8742
Phone (316) 616-6272

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)1-10
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-52512KSMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
MD493544PAMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Specialty Physician Group LLC Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Mar 11, 2026 Accepting new patients
Cedar Surgical LLC Surgery CurrentSince Feb 3, 2026 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

  • FHIR API: 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.

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": "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

Verify at the official NPI Registry.