Individual provider Active NPI

Harisha Kommana, MD

  • Diagnostic Radiology Physician
  • Edina, MN
National Provider Identifier
1386844108
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
272155 Issued in NY
Practice address
3600 Minnesota Dr Ste 800
Edina, MN 55435-7915
Phone
(952) 595-1301
Fax
(612) 294-4903
NPI assigned
Jul 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 272155 NY Primary

Addresses

Primary practice location

3600 Minnesota Dr Ste 800
Edina, MN 55435-7915

Mailing address

3600 Minnesota Dr Ste 800
Edina, MN 55435-7915
Phone (952) 595-1301

Other names 1

  • Harisha Mandava Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, ME, TX3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20140910001742 NY Practitioner - Diagnostic RadiologyPractitioner - Nuclear Medicine 0042439812 Reassigns benefits to 1 organization
I20190522002832 ME Practitioner - Diagnostic Radiology 0042439812 Reassigns benefits to 2 organizations
I20220926001961 TX Practitioner - Diagnostic Radiology 0042439812 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Associates of Burlington County P aGroup PAC ID 7012954381, 153 clinicians
South Jersey Radiology Associates P aGroup PAC ID 9133115587, 202 clinicians
Virtual Radiologic Professionals of Texas I, PAGroup PAC ID 6204838766, 35 clinicians
Spectrum Healthcare Partners PAGroup PAC ID 7618871245, 305 clinicians
Houlton Regional HospitalGroup PAC ID 0042127946, shared by 5 NPIs, 59 clinicians

Practice addresses (Care Compare)

Carrollton, TX 75010
Phone (856) 229-0696

Frisco, TX 75035
Phone (856) 229-0696

12242 Deer TRL
Frisco, TX 75035-2682
Phone (952) 595-1100

20 Hartford St
Houlton, ME 04730-1859

2400 Spruce CT
Keller, TX 76262-8832
Phone (952) 595-1100

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Houlton Regional Hospital CurrentSince Mar 18, 2019 Accepting new patients
Icahn School of Medicine at Mount Sinai Diagnostic Radiology CurrentSince Oct 1, 2014 Accepting new patients
Houlton Regional Hospital CurrentSince Mar 18, 2019 Accepting new patients
Houlton Regional Hospital Current Accepting new patients
Olean General Hospital CurrentSince Nov 12, 2025 Accepting new patients
Virtual Radiologic Professionals of Texas I, P.a. Diagnostic Radiology CurrentSince Aug 23, 2022 Accepting new patients
Icahn School of Medicine at Mount Sinai Current Accepting new patients
South Jersey Radiology Associates P a Diagnostic Radiology CurrentSince Jul 1, 2025 Accepting new patients
Radiology Associates of Burlington County P a Diagnostic Radiology CurrentSince Jul 1, 2025 Accepting new patients
Red River Consultants, Inc Diagnostic Radiology CurrentSince Aug 1, 2024 Accepting new patients
Olean General Hospital CurrentSince Nov 12, 2025 Accepting new patients
Spectrum Healthcare Partners, PA Diagnostic Radiology Past Accepting new patients
Radiology Alliance of Maine, LLC Diagnostic Radiology Past Accepting new patients

Locations

815 S Pine St
Vivian, LA 71082
Phone (318) 375-3239

20 Hartford St
Houlton, ME 04730
Phone (207) 532-2900

11995 Singletree Ln
Ste 500
Eden Prairie, MN 55344
Phone (952) 595-1143

3600 Minnesota Dr
Ste 800
Minneapolis, MN 55435
Phone (612) 595-1100

100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210

7901 Broadway
Rm A119
Elmhurst, NY 11373
Phone (718) 334-3915

101 Hospital Rd
Patchogue, NY 11772
Phone (631) 654-7100

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 5

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": "1184803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1386844108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 MINNESOTA DR STE 800",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554357915",
            "telephone_number": "952-595-1301",
            "fax_number": "612-294-4903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 MINNESOTA DR STE 800",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554357915",
            "telephone_number": "952-595-1301",
            "fax_number": "612-294-4903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOMMANA",
        "first_name": "HARISHA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-19",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "272155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HARISHA",
            "last_name": "MANDAVA",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Edina, MN

Sources for this page

Verify at the official NPI Registry.