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FAMILY MEDICINE AT WILLOW BEND
NPI 1003800434
Clinic/Center in Plano, TX

Active since August 31, 2005
5944 W PARKER RD, SUITE 100, PLANO, TX 75093(972) 608-1868(972) 943-8644 Get Directions Write a Review

NPPES record last updated: February 28, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Family Medicine At Willow Bend NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FAMILY MEDICINE AT WILLOW BEND (NPI 1003800434) is a healthcare organization registered as a clinic/center in Plano, Texas and active in the NPI registry since August 2005. The organization lists Jeffrey Craig Komenda, Medical Doctor, as its authorized official.

NPPES Registry Identity

NPI1003800434
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameJEFFREY C. KOMENDA, M.D., P.A.
Location Address5944 W PARKER RD, SUITE 100Plano, TX 75093-6421
Mailing Address5944 W Parker RdPlano, TX 75093-6422 · (972) 608-1868 · Fax (972) 943-8644
Phone(972) 608-1868
Fax(972) 943-8644
Organization SubpartNo
Authorized OfficialJeffrey Craig KomendaMedical Doctor · (972) 608-1868
Enumeration DateAugust 31, 2005
Last NPPES UpdateFebruary 28, 2012
✔ NPI 1003800434 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in TX · H6350
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
5944 W PARKER RD, Plano, TX 75093
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Other Names 1

Doing Business AsFamily Medicine At Willow Bend

Other Identifiers 6

Medicaid124934405TX
Medicare PIN00964WTX
Medicare UPINE21206TX
Medicaid165802301TX
Other10018514TX · Amerigroup
Medicaid165802302TX

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Family Medicine At Willow Bend is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Family Medicine At Willow Bend, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Saeid Davani, MD
Internal Medicine
NPI 1346999562
5944 W PARKER RD STE 100
Plano, TX 75093
(972) 608-1868
✔ PECOS✔ Accepts MedicareSame address
Jeffrey Komenda, M.D.
Family Practice
NPI 1396934865
5944 W PARKER RD 100
Plano, TX 75093
(972) 608-1868
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeffrey C. Komenda, M.D., P.A.'s NPI number?

The NPI number for Jeffrey C. Komenda, M.D., P.A. is 1003800434. It was assigned to this organization in the NPPES registry on August 31, 2005. The provider is doing business as Family Medicine At Willow Bend.

Where is Jeffrey C. Komenda, M.D., P.A. located?

Jeffrey C. Komenda, M.D., P.A. is located at 5944 W Parker Rd Suite 100, Plano, TX 75093. The listed phone number is (972) 608-1868.

What is Jeffrey C. Komenda, M.D., P.A.'s specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Jeffrey C. Komenda, M.D., P.A. enrolled in Medicare?

Yes. Jeffrey C. Komenda, M.D., P.A. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jeffrey C. Komenda, M.D., P.A.?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Jeffrey C. Komenda, M.D., P.A., in Family Practice and Internal Medicine. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Jeffrey C. Komenda, M.D., P.A. was last updated on February 28, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.