Andrew Lewis Kominsky, MD

Individual provider Active NPI Medical Oncology Physician · Coeur D Alene, ID

NPI 1265478697 · NPPES record last updated Jul 1, 2026

Key facts

NPI
1265478697
Entity type
Individual (NPI type 1)
Primary specialty
Medical Oncology Physician 207RX0202X
License
2061972 (ID)
Practice address
3815 N Schreiber Way Unit 101
Coeur D Alene, ID 83815-8434
Phone
(208) 755-2804
Fax
(208) 765-0277
NPI assigned
Jun 22, 2006
Sex
Male
Sole proprietor
No

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 and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Medical Oncology
Also: Hematology/Oncology
Education
Tufts University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Beacon Cancer Care PLLC (15 clinicians)

Practice addresses (Care Compare)

3815 N Schreiber Way
Unit 101
Coeur D Alene, ID 83815-8434
Phone (208) 755-2804

Hospital & facility affiliations

  • Kootenai Health Hospital · Coeur D'Alene, ID · CCN 130049
  • Northwest Specialty Hospital Hospital · Post Falls, ID · CCN 130066
  • Bonner General Hospital Hospital · Sandpoint, ID · CCN 131328
  • Benewah Community Hospital Hospital · Saint Maries, ID · CCN 131317

Medicare participation

Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20240912002069 ID Practitioner - Medical Oncology
Practitioner - Hematology/Oncology
6608871900 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
No
HHS exclusion list flag
The National Provider Directory flags this NPI as appearing on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
80174CAMDPharmacist
024558LAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Beacon Cancer Care PLLC Current
since Nov 17, 2024
Accepting new patients
Beacon Cancer Care PLLC Hematology Current
since Aug 30, 2024
Accepting new patients
American Oncology Partners, P.a. Hematology & Oncology Current
since Aug 18, 2024
Accepting new patients

Locations

3815 N Schreiber Way
Unit 101
Coeur D Alene, ID 83815
Phone (208) 755-2804

2003 Kootenai Health Way
Coeur D Alene, ID 83814
Phone (208) 625-5085

1641 E Polston Ave
Ste 102
Post Falls, ID 83854
Phone (208) 618-5212

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology Physician 207RX0202X 2061972 ID Yes
Medical Oncology Physician 207RX0202X MD00046940 WA
Hematology (Internal Medicine) Physician 207RH0000X MD00046940 WA

Addresses

Primary practice location

3815 N Schreiber Way Unit 101
Coeur D Alene, ID 83815-8434

Mailing address

3815 N Schreiber Way Unit 101
Coeur D Alene, ID 83815-8434
Phone (208) 755-2804

Other practice location 1

1641 E Polston Ave Ste 102
Post Falls, ID 83854-7852
Phone (208) 755-2804

Other practice location 2

30544 Highway 200 Ste 302
Ponderay, ID 83852-5005
Phone (208) 755-2804

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 1, 2026.

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1265478697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3815 N SCHREIBER WAY UNIT 101",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838158434",
            "telephone_number": "208-755-2804",
            "fax_number": "208-765-0277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3815 N SCHREIBER WAY UNIT 101",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838158434",
            "telephone_number": "208-755-2804",
            "fax_number": "208-765-0277"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1641 E Polston Ave Ste 102",
            "address_purpose": "LOCATION",
            "city": "Post Falls",
            "state": "ID",
            "postal_code": "838547852",
            "country_code": "US",
            "telephone_number": "208-755-2804",
            "fax_number": "208-765-0277",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30544 Highway 200 Ste 302",
            "address_purpose": "LOCATION",
            "city": "Ponderay",
            "state": "ID",
            "postal_code": "838525005",
            "country_code": "US",
            "telephone_number": "208-755-2804",
            "fax_number": "208-765-0277",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOMINSKY",
        "first_name": "ANDREW",
        "middle_name": "LEWIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "ID",
            "license": "2061972",
            "primary": true
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "WA",
            "license": "MD00046940",
            "primary": false
        },
        {
            "code": "207RH0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology",
            "state": "WA",
            "license": "MD00046940",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coeur D Alene, ID

All providers in Coeur D Alene, ID · Medical Oncology Physician in Idaho

Sources for this page

Verify at the official NPI Registry.