Active NPI
Madison Kommor, MD
- Emergency Medicine Physician
- Columbus, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 036176093
- Practice address
- 376 W 10TH Ave
Columbus, OH 43210 - Phone
- (614) 293-3570
- NPI assigned
- Apr 12, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 036176093 | IL | Primary |
| Emergency Medicine Physician | 207P00000X | 2022-01031 | NC | |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
376 W 10TH Ave
Columbus, OH 43210
Mailing address
500 S Preston St RM 305
Louisville, KY 40202-1702
Phone (502) 852-8696
Other practice location 1
4201 W Medical Center Dr
McHenry, IL 60050-8409
Phone (815) 759-3100
Other practice location 2
500 S Preston St Rm 305
Louisville, KY 40202-1702
Phone (502) 852-8696
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4201 W Medical Ctr Dr
McHenry, IL 60050-8409
Phone (815) 759-4323
618 S Main St
Reidsville, NC 27320-5020
Phone (336) 716-2255
Hospital & facility affiliations
- Northwestern Medicine McHenry
- Northwestern Lake Forest Hospital
- Moses H. Cone Memorial Hospital, the
- Northwestern Medicine Central Dupage Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036176093 | IL | MD | Emergency Medicine Physician |
| 2022-01031 | NC | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of North Carolina at Chapel Hill | Emergency Medicine | Current | Accepting new patients |
| Northwestern Medical Faculty Foundation | Current | Accepting new patients | |
| Wake Forest Emergency Providers | Current | Accepting new patients | |
| Northwestern Medical Faculty Foundation | Current | Accepting new patients |
Locations
Dept 5777
Carol Stream, IL 60122
Carol Stream, IL 60122
Phone (630) 933-3300
660 N Westmoreland Rd
#302
Lake Forest, IL 60045
4201 W Medical Center Dr
McHenry, IL 60050
Phone (815) 759-3100
515 Valley View Dr
Ste 201
Moline, IL 61265
Phone (312) 695-0870
1240 Huffman Mill Rd
Burlington, NC 27215
Phone (336) 538-7000
101 Manning Dr
Chapel Hill, NC 27514
Phone (984) 974-1485
5221 Paramount Pkwy
Ste 420
Morrisville, NC 27560
Phone (984) 215-6533
618 S Main St
Reidsville, NC 27320
Phone (336) 832-7965
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- Carol Stream, IL
- NPI 1346235314
-
- Multi-Specialty Clinic/Center
- Statesville, NC
- NPI 1396216735
-
- Anesthesiology Physician
- Chapel Hill, NC
- NPI 1780669200
Emergency Medicine
-
- Durable Medical Equipment & Medical Supplies
- Chicago, IL
- NPI 1417718479
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Winfield, IL
- NPI 1003864810
-
- Psychiatric Hospital Unit
- Winfield, IL
- NPI 1740230895
-
- General Acute Care Hospital
- McHenry, IL
- NPI 1982611281
-
- General Acute Care Hospital
- Lake Forest, IL
- NPI 1124025176
-
- General Acute Care Hospital
- Greensboro, NC
- NPI 1477591055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756080000000",
"number": "1306370804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 S PRESTON ST RM 305",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402021702",
"telephone_number": "502-852-8696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "376 W 10TH AVE",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "43210",
"telephone_number": "614-293-3570"
}
],
"practiceLocations": [
{
"address_1": "4201 W Medical Center Dr",
"address_purpose": "LOCATION",
"city": "McHenry",
"state": "IL",
"postal_code": "600508409",
"country_code": "US",
"telephone_number": "815-759-3100",
"fax_number": "815-363-9094",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "500 S Preston St Rm 305",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "KY",
"postal_code": "402021702",
"country_code": "US",
"telephone_number": "502-852-8696",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOMMOR",
"first_name": "MADISON",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-04-12",
"last_updated": "2025-08-25",
"certification_date": "2025-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IL",
"license": "036176093",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NC",
"license": "2022-01031",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2025; 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.