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
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Medical 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
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
- Northwest Specialty Hospital
- Bonner General Hospital
- Benewah Community Hospital
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240912002069 | ID | Practitioner - Medical 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.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 80174 | CA | MD | Pharmacist |
| 024558 | LA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beacon Cancer Care PLLC | Current |
Accepting new patients | |
| Beacon Cancer Care PLLC | Hematology | Current |
Accepting new patients |
| American Oncology Partners, P.a. | Hematology & Oncology | Current |
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
{
"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
- Mary A Kodak
- Karen K Koenig
- Sarah Kofman
- Sarah Ferguson Kohal
- Jokke Kokkonen
- Natalie D. Koncz
- Angela Meghan Konegni
- Carol Ann Kontos
- Kootenai Audiology, LLC
- Kootenai County Emergency Medical Services System
All providers in Coeur D Alene, ID · Medical Oncology Physician in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 1, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.