Individual provider Active NPI

Komal Joshi, MD

  • Retina Specialist (Ophthalmology) Physician
  • Hummelstown, PA
National Provider Identifier
1285928200
Registry record updated Feb 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
MD466919 Issued in PA
Practice address
2017 Gramercy PL Apt F12
Hummelstown, PA 17036-7055
Phone
(847) 412-8788
NPI assigned
Jun 7, 2011
Last updated
Feb 15, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) Physician 207WX0107X MD466919 PA Primary
Ophthalmology Physician 207W00000X MD466919 PA

Addresses

Primary practice location

2017 Gramercy PL Apt F12
Hummelstown, PA 17036-7055

Mailing address

2017 Gramercy PL Apt F12
Hummelstown, PA 17036-7055
Phone (847) 412-8788

Other names 1

  • Komal Mukeshkumar Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, OH2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20150615002652 IL Practitioner - Ophthalmology 6002127255 Reassigns benefits to 1 organization
I20230803000959 OH Practitioner - Ophthalmology 6002127255 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spectrum Eye Care, Inc.Group PAC ID 6103850581, 11 clinicians

Practice addresses (Care Compare)

15840 Medical Dr S
Suite a
Findlay, OH 45840-7833
Phone (419) 422-6190

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD466919PAMDRetina Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwestern Medical Faculty Foundation CurrentSince Jul 1, 2015 Accepting new patients
Spectrum Eye Care Inc Ophthalmology CurrentSince Jan 6, 2025 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Jul 1, 2015 Accepting new patients
Eye Specialist Inc Ophthalmology Current Accepting new patients
Eye Specialist Inc Ophthalmology CurrentSince May 15, 2023 Accepting new patients
Spectrum Eye Care, Inc. Ophthalmology CurrentSince Jan 6, 2025 Accepting new patients
Eye Specialists Inc Ophthalmology CurrentSince May 15, 2023 Accepting new patients
Eye Consultants of Pennsylvania, PC Ophthalmology CurrentSince Oct 4, 2020 Accepting new patients

Locations

Dept 5777
Carol Stream, IL 60122

675 N Saint Clair St
Ste 15-150
Chicago, IL 60611

680 N Lake Shore Dr
Ste 1000
Chicago, IL 60611
Phone (312) 695-4022

680 N Lake Shore Dr
Ste 810
Chicago, IL 60611
Phone (312) 926-8811

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

50 N Plaza Blvd
Chillicothe, OH 45601
Phone (740) 774-4434

155 E Circle Ln
Circleville, OH 43113
Phone (740) 477-7200

15840 Medical Dr S
Ste A
Findlay, OH 45840
Phone (419) 422-6190

3989 Jackpot Rd
Grove City, OH 43123
Phone (614) 801-9111

676 E Main St
Lancaster, OH 43130
Phone (740) 477-7200

2300 Baton Rouge
Lima, OH 45805
Phone (419) 422-6190

1400 Gay St
Portsmouth, OH 45662
Phone (740) 351-0999

721 W Main St
Wilmington, OH 45177
Phone (937) 382-7724

293 Armand Hammer Blvd
Pottstown, PA 19464
Phone (610) 327-8528

1 Granite Point Dr
Ste 100
Wyomissing, PA 19610
Phone (610) 378-1344

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ei-spectrum
  • FHIR API: https://fhir4.healow.com/fhir/r4/BGHCBA/Endpoint/BGHCBA

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1307404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613347200000",
    "number": "1285928200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2017 GRAMERCY PL APT F12",
            "city": "HUMMELSTOWN",
            "state": "PA",
            "postal_code": "170367055",
            "telephone_number": "847-412-8788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2017 GRAMERCY PL APT F12",
            "city": "HUMMELSTOWN",
            "state": "PA",
            "postal_code": "170367055",
            "telephone_number": "847-412-8788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSHI",
        "first_name": "KOMAL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-07",
        "last_updated": "2021-02-15",
        "certification_date": "2021-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "PA",
            "license": "MD466919",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD466919",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KOMAL",
            "last_name": "MUKESHKUMAR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hummelstown, PA

Sources for this page

Verify at the official NPI Registry.