Jeffrey Craig Komenda, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

H6350 Issued in TX

Practice address

5944 W Parker Rd
100
Plano, TX 75093-6421

Phone

(972) 608-1868

Fax

(972) 943-8644

NPI assigned

Oct 19, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Dr. Jeff Komenda Other name

Medicare fee-for-service enrollment

Enrolled in TX

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

Family Practice

Education

Saint Louis University School of Medicine, 1988

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jeffrey.komenda@fmsp.eclinicaldirectplus.com
• FHIR API: https://fhir4.healow.com/fhir/r4/IEHGCA/Endpoint/IEHGCA

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.

• Jeffrey C. Komenda, M.D., P.a.

  • Clinic/Center
  • Plano, TX
  • NPI 1003800434
  Medicare reassignment NPD Authorized official
• Family Medicine at Willow Bend

  • Health Service Clinic/Center
  • Plano, TX
  • NPI 1174726061
  NPD (past)
• Jeffrey C. Komenda, M.D., P.a.

  • Clinic/Center
  • Lewisville, TX
  • NPI 1972788628
  NPD (past)

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

{
    "created_epoch": "1192752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724976000000",
    "number": "1396934865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5944 W PARKER RD STE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750936422",
            "telephone_number": "972-608-1868",
            "fax_number": "972-943-8644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5944 W PARKER RD",
            "address_2": "100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750936421",
            "telephone_number": "972-608-1868",
            "fax_number": "972-943-8644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOMENDA",
        "first_name": "JEFFREY",
        "middle_name": "CRAIG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-19",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H6350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "10018514",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP",
            "identifier": "165802301",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID TEXAS HEALTH STE",
            "identifier": "165802302",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "124934405",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEFF",
            "last_name": "KOMENDA",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Elaina Koesters, RBT
• Dena Kohleriter, LCSW
• Jenna Lynn Kok, MOTR/L
• Nikhil Kokkapuni, MD
• Patricia Kolb, PHARMD
• Aisatou Konate
• Lorenza Kondo
• Jonathan Conrad Koning, M.D.
• Gregory J Koniuszy, PTA
• Stephanie Kononovich

• Family Medicine Physician in Plano, TX
• Providers in Plano, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2024; 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.