Individual provider Active NPI

Aemad Komarizadeh, DO

  • Emergency Medicine Physician
  • Cullman, AL
National Provider Identifier
1609442052
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
20A21758 Issued in CA
Practice address
1912 Al Highway 157
Cullman, AL 35058-0609
Phone
(256) 737-2000
Fax
(256) 737-2152
NPI assigned
May 27, 2021
Last updated
May 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 20A21758 CA Primary
Family Medicine Physician 207Q00000X 4125 AL

Addresses

Primary practice location

1912 Al Highway 157
Cullman, AL 35058-0609

Mailing address

PO Box 2895
Cullman, AL 35056-2895
Phone (256) 735-5044

Other practice location 1

1958 AL Highway 157
Cullman, AL 35058-0609
Phone (256) 737-2090

Other practice location 2

380 Woods Cove Rd
Scottsboro, AL 35768-2428
Phone (256) 259-4444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, AL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20241218000302 CA Practitioner - Family Practice 5395190094 Reassigns benefits to 1 organization
I20250818003402 AL Practitioner - Family Practice 5395190094 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Nova Southeastern College of Osteo Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CRMC Medical Group LLCGroup PAC ID 8729419874, 81 clinicians

Practice addresses (Care Compare)

1958 Al Hwy 157
Cullman, AL 35058-0609
Phone (256) 737-2298

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A21758CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Island Medical Alabama LLC Emergency Medicine CurrentSince Aug 1, 2025 Accepting new patients
Contra Costa County CurrentSince Jan 31, 2025 Accepting new patients
Contra Costa County CurrentSince Jan 31, 2025 Accepting new patients
CRMC Medical Group LLC Current Accepting new patients
Immh Scottsboro LLC Emergency Medicine CurrentSince Aug 1, 2025 Accepting new patients
CRMC Medical Group LLC CurrentSince Oct 1, 2025 Accepting new patients

Locations

1912 AL Highway 157
Cullman, AL 35058
Phone (256) 737-2496

1930 AL Highway 157
Cullman, AL 35058
Phone (256) 734-7850

1958 AL Highway 157
Cullman, AL 35058
Phone (256) 737-2090

380 Woods Cove Rd
Scottsboro, AL 35768
Phone (256) 218-3579

2500 Alhambra Ave
Martinez, CA 94553
Phone (925) 370-5000

13601 San Pablo Ave
San Pablo, CA 94806
Phone (510) 231-9400

2523 El Portal Dr
Ste 206
San Pablo, CA 94806
Phone (510) 215-3730

Organizations & group practices 6

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.

Hospital & facility affiliations 1

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": "1622073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778630400000",
    "number": "1609442052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2895",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350562895",
            "telephone_number": "256-735-5044",
            "fax_number": "256-801-7626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1912 AL HIGHWAY 157",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350580609",
            "telephone_number": "256-737-2000",
            "fax_number": "256-737-2152"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1958 AL Highway 157",
            "address_purpose": "LOCATION",
            "city": "Cullman",
            "state": "AL",
            "postal_code": "350580609",
            "country_code": "US",
            "telephone_number": "256-737-2090",
            "fax_number": "256-737-2091",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "380 Woods Cove Rd",
            "address_purpose": "LOCATION",
            "city": "Scottsboro",
            "state": "AL",
            "postal_code": "357682428",
            "country_code": "US",
            "telephone_number": "256-259-4444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOMARIZADEH",
        "first_name": "AEMAD",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-27",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "20A21758",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "4125",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cullman, AL

Sources for this page

Verify at the official NPI Registry.