Individual provider Active NPI

Maria J Komin, M.D.

  • Family Medicine Physician
  • Niagara Falls, NY
National Provider Identifier
1508864505
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
170669 Issued in NY
Practice address
7300 Porter Rd
Niagara Falls, NY 14304-5705
Phone
(716) 298-5862
Fax
(716) 285-3622
NPI assigned
Jul 13, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 170669 NY Primary

Addresses

Primary practice location

7300 Porter Rd
Niagara Falls, NY 14304-5705

Mailing address

7300 Porter Rd
Niagara Falls, NY 14304-5705
Phone (716) 298-5862

Other identifiers 1

IdentifierTypeStateIssuer
01023752MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20101004001152 NY Practitioner - Family Practice 6608922091 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Medical Wny PC CurrentSince Jul 11, 2020 Accepting new patients
Trinity Medical Wny PC CurrentSince Jul 11, 2020 Accepting new patients
Niagara Falls Memorial Medical Center Past Accepting new patients

Locations

144 Genesee St
Fl 3
Buffalo, NY 14203
Phone (716) 601-3690

3435 Bailey Ave
Buffalo, NY 14215
Phone (716) 835-2966

621 10th St
North Falls, NY 14301
Phone (716) 278-4000

Interoperability endpoints

  • Direct secure messaging: mkomin21409@direct.chsbuffalo.org

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1508864505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 PORTER RD",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143045705",
            "telephone_number": "716-298-5862",
            "fax_number": "716-285-3622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 PORTER RD",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143045705",
            "telephone_number": "716-298-5862",
            "fax_number": "716-285-3622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOMIN",
        "first_name": "MARIA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-13",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "170669",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01023752",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Niagara Falls, NY

Sources for this page

Verify at the official NPI Registry.