Juanita Regina Kcomt, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

MD432340 Issued in PA

Practice address

735 Fitzwatertown Rd
#1
Willow Grove, PA 19090-1332

Phone

(215) 657-2012

Fax

(215) 657-2018

NPI assigned

Aug 30, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

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 1

Specialty

EndocrinologyAlso: Internal Medicine, Nephrology, Neurology

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Main Line HealthcareGroup PAC ID 1951215201, 1,154 clinicians

Temple Faculty Practice Plan IncGroup PAC ID 0345588711, 1,325 clinicians

Hypertension Nephrology Associates PCGroup PAC ID 6103809967, 17 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• DaVita Harbison Dialysis Dialysis facility, Philadelphia, PA, CCN 392881
• Temple University Hospital Hospital, Philadelphia, PA, CCN 390027
• Hospital of the Fox Chase Cancer Center Hospital, Philadelphia, PA, CCN 390196
• Bryn Mawr Hospital Hospital, Bryn Mawr, PA, CCN 390139
• Holy Redeemer Hospital and Medical Center Hospital, Meadowbrook, PA, CCN 390097
• Nazareth Hospital Hospital, Philadelphia, PA, CCN 390204

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: juanita.kcomt@hypertensionnephrologyassociates.chartmakerdirect.com

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.

• Hypertension Nephrology Associates, PC

  • Nephrology Physician
  • Willow Grove, PA
  • NPI 1831251180
  Medicare reassignment Care Compare group NPD
• Main Line Healthcare

  • Family Medicine Physician
  • Newtown Square, PA
  • NPI 1922077643
  Medicare reassignment Care Compare group NPD
• Temple Faculty Practice Plan Inc

  • Anesthesiology Physician
  • Philadelphia, PA
  • NPI 1881176949
  Medicare reassignment Care Compare group NPD
• Bryn Mawr Medical Specialists Association

  • Multi-Specialty Clinic/Center
  • Bryn Mawr, PA
  • NPI 1841226099
  Medicare reassignment NPD
• Hammad Raza PC

  • Hospitalist Physician
  • West Chester, PA
  • NPI 1164932836
  Medicare reassignment NPD
• KND Development 59 LLC

  • Hospitalist Physician
  • Philadelphia, PA
  • NPI 1851620496
  Medicare reassignment NPD
• Temple Faculty Practice Plan Inc

  • Endocrinology, Diabetes & Metabolism Physician
  • Philadelphia, PA
  • NPI 1194207134
  NPD
• KND Development 59, LLC

  • Hospitalist Physician
  • Broken Arrow, OK
  • NPI 1922950823
  NPD
• Temple Faculty Practice Plan Inc

  • Urology Physician
  • Voorhees, NJ
  • NPI 1407638794
  NPD

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

• Isd Renal, Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Philadelphia, PA
  • NPI 1306322516

  Dialysis facility

  Care Compare affiliation Name & address match
• American Oncologic Hospital

  • Special Hospital
  • Philadelphia, PA
  • NPI 1730195017
  Care Compare affiliation
• Holy Redeemer Health System

  • General Acute Care Hospital
  • Meadowbrook, PA
  • NPI 1750371522
  Care Compare affiliation
• Main Line Hospitals, Inc.

  • General Acute Care Hospital
  • Bryn Mawr, PA
  • NPI 1508971441
  Care Compare affiliation
• Temple University Hospital, Inc

  • Clinic/Center
  • Furlong, PA
  • NPI 1093404386

  Hospital

  Care Compare affiliation
• Temple University Hospital, Inc

  • General Acute Care Hospital
  • Philadelphia, PA
  • NPI 1275157455
  Care Compare affiliation
• Temple University Hospital, Inc

  • Ambulatory Surgical Clinic/Center
  • Philadelphia, PA
  • NPI 1275682148

  Hospital

  Care Compare affiliation
• Temple University Hospital, Inc

  • General Acute Care Hospital
  • Philadelphia, PA
  • NPI 1356981443
  Care Compare affiliation
• Temple University Hospital, Inc

  • Clinic/Center
  • East Norriton, PA
  • NPI 1407612922

  Hospital

  Care Compare affiliation
• Temple University Hospital, Inc

  • General Acute Care Hospital
  • Philadelphia, PA
  • NPI 1871368654
  Care Compare affiliation
• Temple University Hospital, Inc

  • General Acute Care Hospital
  • Philadelphia, PA
  • NPI 1932813789
  Care Compare affiliation
• Temple University Hospital, Inc

  • General Acute Care Hospital
  • Philadelphia, PA
  • NPI 1962579029
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274832000000",
    "number": "1285744516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 FITZWATERTOWN RD",
            "address_2": "#1",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190901332",
            "telephone_number": "215-657-2012",
            "fax_number": "215-657-2018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 FITZWATERTOWN RD",
            "address_2": "#1",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190901332",
            "telephone_number": "215-657-2012",
            "fax_number": "215-657-2018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KCOMT",
        "first_name": "JUANITA",
        "middle_name": "REGINA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2010-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PA",
            "license": "MD432340",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10963034002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Kahn, MA, LPC
• Danielle Kaluza
• Leah Kaminetzky
• Kyle Kammerle, PT
• Susan Kane, OTR/L
• Allison J. Keen, MD
• Nicky Kelepouris, MD
• Kevin J Kelly, M.D.
• Leslie A Kemper, MMFT
• Kent Lane Mueller DDS, LLC

• Nephrology Physician in Willow Grove, PA
• Providers in Willow Grove, PA by specialty
• Nephrology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2010; 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.

Verify at the official NPI Registry.