Vishnuvardhan Reddy Komari, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

C147294 Issued in CA

Practice address

6000 E Broad St
Columbus, OH 43213

Phone

(614) 243-7535

NPI assigned

May 1, 2009

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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 MedicineAlso: Hospitalist

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

American Specialty Physicians Group IncGroup PAC ID 6103198460, 99 clinicians

Noel Serrano MD PCGroup PAC ID 6800246893, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sutter Santa Rosa Regional Hospital Hospital, Santa Rosa, CA, CCN 050291
• Providence Santa Rosa Memorial Hospital Hospital, Santa Rosa, CA, CCN 050174
• Dameron Hospital Hospital, Stockton, CA, CCN 050122
• Sutter Solano Medical Center Hospital, Vallejo, CA, CCN 050101
• Sutter Medical Center, Sacramento Hospital, Sacramento, CA, CCN 050108
• Sonoma Specialty Hospital Long-term care hospital, Sebastopol, CA, CCN 052057

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: vkomari377213@hisp.ehr.sutterhealth.org

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.

• American Specialty Physicians Group Inc

  • Emergency Medicine Physician
  • Modesto, CA
  • NPI 1568992923

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Noel Serrano MD PC

  • Internal Medicine Physician
  • Oakland, CA
  • NPI 1154010072
  Medicare reassignment Care Compare group NPD
• Pacific Inpatient Medical Group

  • Internal Medicine Physician
  • San Francisco, CA
  • NPI 1447447248
  Medicare reassignment NPD
• A.V.C.H., Inc.

  dba Apple Valley Post-Acute Rehab

  • Skilled Nursing Facility
  • Sebastopol, CA
  • NPI 1114902616
  NPD (past)
• St. Joseph Health Northern California, LLC

  dba Providence Santa Rosa Memorial Hospital

  • General Acute Care Hospital
  • Santa Rosa, CA
  • NPI 1134152549
  NPD (past)

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

• Dameron Hospital Association

  • General Acute Care Hospital
  • Stockton, CA
  • NPI 1538163886
  Care Compare affiliation
• Dameron Hospital Association

  • Primary Care Clinic/Center
  • Stockton, CA
  • NPI 1699195115

  Hospital

  Care Compare affiliation
• Sonoma Specialty Hospital, LLC

  • Long Term Care Hospital
  • Sebastopol, CA
  • NPI 1396205050

  Long-term care hospital

  Care Compare affiliation
• St. Joseph Health Northern California, LLC

  dba Providence Santa Rosa Memorial Hospital

  • General Acute Care Hospital
  • Santa Rosa, CA
  • NPI 1134152549
  Care Compare affiliation
• Sutter Bay Hospitals

  • General Acute Care Hospital
  • Santa Rosa, CA
  • NPI 1740413798
  Care Compare affiliation
• Sutter Valley Hospitals

  dba Sutter Solano Medical Center

  • General Acute Care Hospital
  • Vallejo, CA
  • NPI 1366686248
  Care Compare affiliation
• Sutter Valley Hospitals

  • General Acute Care Hospital
  • Sacramento, CA
  • NPI 1811946734
  Care Compare affiliation

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

{
    "created_epoch": "1241136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1790929966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3913 PURPLE FINCH LN",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953558515",
            "telephone_number": "832-472-8576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 E BROAD ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43213",
            "telephone_number": "614-243-7535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOMARI",
        "first_name": "VISHNUVARDHAN",
        "middle_name": "REDDY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-05-01",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OH",
            "license": "57-015853",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C147294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Leonard Kolodychuk, MD
• Christine Kolodziejski, D.O
• Stephen N Kolodzik, MD
• Saddie Kolterman
• Chad Komar
• Hope E Komatz, CCC SLP
• Jubileen Kombe
• Hal Kominsky, MD
• Rylee Komminsk
• Srikar Kommmareddy

• Internal Medicine Physician in Columbus, OH
• Providers in Columbus, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.