Mohammad R Komaily, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104556275 Issued in VA

Practice address

10195 Main St Ste F
Fairfax, VA 22031-3415

Phone

(703) 277-9590

Fax

(703) 273-6574

NPI assigned

Oct 18, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College - West, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Chiropractic Care Inc

  • Chiropractor
  • Fairfax, VA
  • NPI 1689737611

  DC

  Medicare reassignment Authorized official
• Capitol Rehab & Wellness of Annandale, LLC

  • Chiropractor
  • Annandale, VA
  • NPI 1508408154
  NPD

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243555200000",
    "number": "1487735007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10195 MAIN ST STE F",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220313415",
            "telephone_number": "703-277-9590",
            "fax_number": "703-273-6574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10195 MAIN ST STE F",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220313415",
            "telephone_number": "703-277-9590",
            "fax_number": "703-273-6574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOMAILY",
        "first_name": "MOHAMMAD",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2009-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104556275",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "G01625C01",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Koh & Associates, DDS, P.C.
• Rachel Kokal, PA-C
• Laurel Kokilananda, MS, BCBA
• Jessica Ann Marie Kollaros, CCC-SLP
• Jeanine Kolman, PT
• Crystal Kominar
• Aisha Amadou Konare
• Jennifer Olek Konchar, MSPT
• Ida Kondori, D.D.S.
• Kone Molecular Labs LLC

• Chiropractor in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2009; 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.