Individual provider Active NPI

Komal Preet Kaur, MBBS

  • Pulmonary Disease Physician
  • Eugene, OR
National Provider Identifier
1548751225
Registry record updated Jul 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
MD224658 Issued in OR
Practice address
3125 Chad Dr
Eugene, OR 97408-7440
Phone
(541) 687-1712
Fax
(541) 687-7943
NPI assigned
May 29, 2018
Reactivated
Aug 14, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 010533 GA
Student in an Organized Health Care Education/Training Program 390200000X
Pulmonary Disease Physician 207RP1001X MD224658 OR Primary

Addresses

Primary practice location

3125 Chad Dr
Eugene, OR 97408-7440

Mailing address

12 Executive Park Dr NE
Atlanta, GA 30329-2206
Phone (404) 727-5658

Other practice location 1

12 Executive Park Dr NE
Atlanta, GA 30329-2206
Phone (404) 727-5658

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20250808003204 OR Practitioner - Pulmonary Disease 2264930262 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peacehealth Medical GroupGroup PAC ID 9032023270, 256 clinicians

Practice addresses (Care Compare)

3125 Chad Dr
Suite 100
Eugene, OR 97408-7440
Phone (541) 687-1712

Hospital & facility affiliations

  • Sacred Heart Medical Center - Riverbend Hospital, Springfield, OR, CCN 380102
  • Bay Area Hospital Hospital, Coos Bay, OR, CCN 380090
  • Peace Harbor Medical Center Hospital, Florence, OR, CCN 381316

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
010533GAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Peacehealth Medical Group CurrentSince Jul 25, 2025 Accepting new patients
Oregon Lung Specialists, LLC PastSince Aug 17, 2025 Accepting new patients

Locations

3125 Chad Dr
Ste 100
Eugene, OR 97408
Phone (541) 687-1712

4010 Aerial Way
Eugene, OR 97402
Phone (541) 242-8300

Interoperability endpoints

  • Direct secure messaging: kkaur784260@direct.peacehealth.org

Organizations & group practices 2

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.

Hospital & facility affiliations 4

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": "1527552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753401600000",
    "number": "1548751225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 EXECUTIVE PARK DR NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303292206",
            "telephone_number": "404-727-5658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3125 CHAD DR",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974087440",
            "telephone_number": "541-687-1712",
            "fax_number": "541-687-7943"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12 Executive Park Dr NE",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303292206",
            "country_code": "US",
            "telephone_number": "404-727-5658",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAUR",
        "first_name": "KOMAL",
        "middle_name": "PREET",
        "name_prefix": "Dr.",
        "credential": "MBBS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-29",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-25",
        "deactivation_date": "2019-01-22",
        "reactivation_date": "2020-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "GA",
            "license": "010533",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "OR",
            "license": "MD224658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.