Kateryna Komarovskiy, MD, PLLC

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

Legal business name

KATERYNA KOMAROVSKIY, MD, PLLC

Practice address

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

Phone

(936) 755-4238

Fax

(936) 755-5979

NPI assigned

Nov 9, 2016

Organization subpart

No

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

Authorized official

Name

Kateryna Komarovskiy, MDNPI 1265694285

Title

Owner

Phone

(936) 755-4238

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Conroe Endocrinology Center Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/15035/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kateryna Komarovskiy, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Shenandoah, TX
  • NPI 1265694285
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1478649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737417600000",
    "number": "1366984288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 PINE FOREST DR #103",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "77384",
            "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 # 103",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773845302",
            "telephone_number": "936-755-4238",
            "fax_number": "936-755-5979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATERYNA KOMAROVSKIY, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-09",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A",
        "authorized_official_last_name": "KOMAROVSKIY",
        "authorized_official_first_name": "KATERYNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "936-755-4238",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "350299901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Conroe Endocrinology Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Conroe Endocrinology Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Noreen Kane
• Mona Kapadia, M.D.
• Ashish Kapoor, MD
• Ahmed R Karim, M.D.
• Altaf Karim, MD
• Katherine Anderson Professional Limited Liability Company
• Srikanth Katragadda, MD
• Ramandeep Kaur
• Jessica Kay, PHARM.D.
• Kaylyn Kays

• Endocrinology, Diabetes & Metabolism Physician in Shenandoah, TX
• Providers in Shenandoah, TX by specialty
• Endocrinology, Diabetes & Metabolism Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.