Fnu Komaldeep Kaur, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

89663 Issued in SC

Practice address

One Medical Center Boulevard
Department of Medicine, 3 East, Crozer Chester Medical
Upland, PA 19013-3995

Phone

(610) 874-6114

Fax

(610) 447-6373

NPI assigned

Apr 23, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Komaldeep Kaur Former name

Medicare fee-for-service enrollment

Enrolled in SC

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

Internal Medicine

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cogent Healthcare of Georgia PCGroup PAC ID 2961483607, 252 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Aiken Regional Medical Center Hospital, Aiken, SC, CCN 420082

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cogent Healthcare of Georgia PC

  • Internal Medicine Physician
  • Macon, GA
  • NPI 1609827823

  SC

  Medicare reassignment Care Compare group NPD
• Crozer Chester Medical Center

  • General Acute Care Hospital
  • Chester, PA
  • NPI 1972757912
  NPD (past)
• Aiken Regional Medical Centers LLC

  dba Aiken Regional Medical Center

  • General Acute Care Hospital
  • Aiken, SC
  • NPI 1467448498
  NPD (past)
• Hospitalist Medicine Physicians of Connecticut - TCS

  • Internal Medicine Physician
  • Manchester, CT
  • NPI 1831712256
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Aiken Regional Medical Centers LLC

  dba Wound Care Center

  • General Acute Care Hospital
  • Aiken, SC
  • NPI 1447437157
  Care Compare affiliation
• Aiken Regional Medical Centers LLC

  dba Aiken Regional Medical Center

  • General Acute Care Hospital
  • Aiken, SC
  • NPI 1467448498
  Care Compare affiliation
• Aiken Regional Medical Centers, LLC.

  dba Aiken Regional Medical Centers Neuro Physician Services

  • Neurological Surgery Physician
  • Aiken, SC
  • NPI 1942610928

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1587600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698364800000",
    "number": "1518587138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 BRENTWOOD COMMONS WAY STE 510",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "37027",
            "telephone_number": "615-371-4431",
            "fax_number": "610-447-6373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE MEDICAL CENTER BOULEVARD",
            "address_2": "DEPARTMENT OF MEDICINE, 3 EAST, CROZER CHESTER MEDICAL",
            "city": "UPLAND",
            "state": "PA",
            "postal_code": "190133995",
            "telephone_number": "610-874-6114",
            "fax_number": "610-447-6373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOMALDEEP KAUR",
        "first_name": "FNU",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-23",
        "last_updated": "2023-10-27",
        "certification_date": "2020-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "89663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KOMALDEEP",
            "last_name": "KAUR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brian K Kelly, MD
• W Alan Keogh, DO
• Akshita Khosla, MBBS
• Patricia Kidwell, CRNA
• Alice Soyoung Kim, MD
• Pei Ann Kong, M.D.
• Joel Krackow, MD
• Carrie Kresge, MD
• Craig G Kriza, DPM
• Marsha Krouk, DO

• Internal Medicine Physician in Upland, PA
• Providers in Upland, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2023; 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.