NPIMap

Individual provider Active NPI

Kateryna Komarovskiy, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Shenandoah, TX
National Provider Identifier
1265694285
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
N8941 Issued in TX
Practice address
150 Pine Forest Dr
Suite 103
Shenandoah, TX 77384-5302
Phone
(936) 755-4238
Fax
(936) 755-5979
NPI assigned
Jun 30, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X N8941 TX Primary

Addresses

Primary practice location

150 Pine Forest Dr
Suite 103
Shenandoah, TX 77384-5302

Mailing address

150 Pine Forest Dr
Suite 103
Shenandoah, TX 77384-5302
Phone (936) 755-4238

Other identifiers 1

IdentifierTypeStateIssuer
03024137MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111117000498 TX Practitioner - Endocrinology 3577622752 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

150 Pine Forest Dr
Suite 103
Shenandoah, TX 77384-5302
Phone (936) 755-4238

Hospital & facility affiliations

  • Memorial Hermann Hospital System Hospital, Houston, TX, CCN 450184
  • Houston Methodist the Woodlands Hospital Hospital, The Woodlands, TX, CCN 670122
  • HCA Houston Healthcare Conroe Hospital, Conroe, TX, CCN 450222
  • Tops Surgical Specialty Hospital Hospital, Houston, TX, CCN 450774
  • St Luke'S the Woodlands Hospital Hospital, The Woodlands, TX, CCN 450862

Merit-based Incentive Payment System (MIPS)

Final score
99.87 of 100Reported as individual
Quality
96.08
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kateryna Komarovskiy, MD, PLLC Endocrinology, Diabetes & Metabolism CurrentSince Jan 17, 2017 Accepting new patients
Richmond University Medical Center Past Accepting new patients
Dcoa Physician Associates PA Endocrinology, Diabetes & Metabolism PastSince Oct 1, 2012 Accepting new patients

Locations

150 Pine Forest Dr
Ste 103
Shenandoah, TX 77384
Phone (936) 755-4238

Interoperability endpoints

  • Direct secure messaging: kateryna.komarovskiy.1@15035.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/15035/brand/1/csg/1/fhir/r4

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 10

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": "1214784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1265694285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 PINE FOREST DR",
            "address_2": "SUITE 103",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773845302",
            "telephone_number": "936-755-4238",
            "fax_number": "936-755-5979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 PINE FOREST DR",
            "address_2": "SUITE 103",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773845302",
            "telephone_number": "936-755-4238",
            "fax_number": "936-755-5979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOMAROVSKIY",
        "first_name": "KATERYNA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-30",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "TX",
            "license": "N8941",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03024137",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shenandoah, TX

Sources for this page

Verify at the official NPI Registry.