Individual provider Active NPI

Animisha Kommera, MD

  • Pediatrics Physician
  • Cleveland, OH
National Provider Identifier
1770102626
Registry record updated Aug 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD481415 Issued in PA
Practice address
4757 Lorain Ave
Cleveland, OH 44102-3442
Phone
(216) 957-4848
NPI assigned
Apr 10, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD481415 PA Primary

Addresses

Primary practice location

4757 Lorain Ave
Cleveland, OH 44102-3442

Mailing address

2500 Metrohealth Dr
Cleveland, OH 44109-1900

Other practice location 1

2500 Metrohealth Dr
Cleveland, OH 44109-1900
Phone (216) 778-2222

Other practice location 2

1299 Industrial Pkwy N Ste 250
Brunswick, OH 44212-6366
Phone (216) 957-1450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, OH2 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
I20240731003360 PA Practitioner - Pediatric Medicine 8224575816 Reassigns benefits to 1 organization
I20250808000321 OH Practitioner - Pediatric Medicine 8224575816 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD481415PAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Metrohealth System CurrentSince Jun 23, 2025 Accepting new patients
City of Philadelphia Current Accepting new patients
The Metrohealth System Pediatrics CurrentSince Jun 23, 2025 Accepting new patients
The Metrohealth System Current Accepting new patients
City of Philadelphia CurrentSince May 23, 2024 Accepting new patients
City of Philadelphia CurrentSince May 23, 2024 Accepting new patients

Locations

1299 Industrial Pkwy N
Fl 2
Brunswick, OH 44212
Phone (216) 957-1450

1299 Industrial Pkwy N
Ste 250
Brunswick, OH 44212
Phone (216) 957-1450

4757 Lorain Ave
Cleveland, OH 44102
Phone (216) 957-4848

2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348

555 S 43rd St
Philadelphia, PA 19104
Phone (215) 685-7500

4400 Haverford Ave
#4
Philadelphia, PA 19104
Phone (215) 685-7600

1900 N 20th St
Philadelphia, PA 19121
Phone (215) 685-2933

1101 Market St
Fl 10
Philadelphia, PA 19107

131 E Chelten Ave
#9
Philadelphia, PA 19144
Phone (215) 685-2277

500 S Broad St
Ste 360
Philadelphia, PA 19146

1900 N 20th St
#5
Philadelphia, PA 19121
Phone (215) 685-2933

Interoperability endpoints

  • Direct secure messaging: akommera309614@direct.metrohealth.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1586476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755561600000",
    "number": "1770102626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 METROHEALTH DR",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441091900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4757 LORAIN AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441023442",
            "telephone_number": "216-957-4848"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 Metrohealth Dr",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441091900",
            "country_code": "US",
            "telephone_number": "216-778-2222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1299 Industrial Pkwy N Ste 250",
            "address_purpose": "LOCATION",
            "city": "Brunswick",
            "state": "OH",
            "postal_code": "442126366",
            "country_code": "US",
            "telephone_number": "216-957-1450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOMMERA",
        "first_name": "ANIMISHA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-10",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD481415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.