Individual provider Active NPI

Jason M Komasz, MD

  • Pediatrics Physician
  • Fort Washington, PA
National Provider Identifier
1952374746
Registry record updated Aug 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD071900L Issued in PA
Practice address
260 New York Dr
Fort Washington, PA 19034-2504
Phone
(215) 643-7331
Fax
(215) 654-0741
NPI assigned
Feb 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2016

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 MD071900L PA Primary

Addresses

Primary practice location

260 New York Dr
Fort Washington, PA 19034-2504

Mailing address

595 W State St
505
Doylestown, PA 18901-2554
Phone (215) 933-0259

Other identifiers 1

IdentifierTypeStateIssuer
001849752MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20060203000288 PA Practitioner - Pediatric Medicine 2466466909 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Via Affiliates CurrentSince Jun 16, 2014 Accepting new patients
Via Affiliates CurrentSince Jun 16, 2014 Accepting new patients
Childrens Health Care Associates, Inc Pediatrics CurrentSince Mar 1, 2023 Accepting new patients
Via Affiliates Current Accepting new patients
Childrens Health Care Associates, Inc Pediatrics Current Accepting new patients
Childen'S Health Care Associates Inc. CurrentSince Mar 1, 2023 Accepting new patients
Chester County Hospital Past Accepting new patients

Locations

595 W State St
#505
Doylestown, PA 18901

595 W State St
Doylestown, PA 18901
Phone (215) 345-2200

3401 Civic Center Blvd
Philadelphia, PA 19104
Phone (215) 590-4040

3401 Civic Center Blvd
#M975
Philadelphia, PA 19104

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471564800000",
    "number": "1952374746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 W STATE ST",
            "address_2": "505",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189012554",
            "telephone_number": "215-933-0259",
            "fax_number": "215-933-3672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 NEW YORK DR",
            "city": "FORT WASHINGTON",
            "state": "PA",
            "postal_code": "190342504",
            "telephone_number": "215-643-7331",
            "fax_number": "215-654-0741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOMASZ",
        "first_name": "JASON",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-10",
        "last_updated": "2016-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD071900L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001849752",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Washington, PA

Sources for this page

Verify at the official NPI Registry.