AMY EDALJI MD & R ROGER KOMER MD
NPI 1083802953
Clinic/Center - Multi-Specialty in Brookline, MA

Active since October 04, 2007
1180 BEACON ST, SUITE 5A, BROOKLINE, MA 02446(617) 739-6300(617) 734-8484 Get Directions Write a Review

NPPES record last updated: March 26, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 26, 2020, Jan 18, 2020 (2 updates tracked since 2020).

About Amy Edalji Md & R Roger Komer Md NPPES

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

AMY EDALJI MD & R ROGER KOMER MD (NPI 1083802953) is a healthcare organization registered as a multi-specialty in Brookline, Massachusetts and active in the NPI registry since October 2007. The organization lists R Roger Komer, Physician, as its authorized official.

NPPES Registry Identity

NPI1083802953
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameAMY EDALJI MD & R ROGER KOMER MD
Location Address1180 BEACON ST, SUITE 5ABrookline, MA 02446-3885
Mailing Address1180 Beacon St, Suite 5aBrookline, MA 02446-3885 · (617) 739-6300 · Fax (617) 734-8484
Fax(617) 734-8484
Organization SubpartNo
Authorized OfficialR Roger KomerPhysician · (617) 739-6300
Enumeration DateOctober 4, 2007
Last NPPES UpdateMarch 26, 20202 updates tracked since enumeration
NPPES CertifiedMarch 26, 2020
✔ NPI 1083802953 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
1180 BEACON ST, Brookline, MA 02446

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amy Edalji Md & R Roger Komer Md 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 Amy Edalji MD & R Roger Komer MD, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Internal Medicine
NPI 1184602302
1180 BEACON ST SUITE 5A
Brookline, MA 02446
(617) 739-6300
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1235178237
1180 BEACON ST SUITE 5A
Brookline, MA 02446
(617) 739-6300
✔ 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 Amy Edalji MD & R Roger Komer MD's NPI number?

The NPI number for Amy Edalji MD & R Roger Komer MD is 1083802953. It was assigned to this organization in the NPPES registry on October 4, 2007.

Where is Amy Edalji MD & R Roger Komer MD located?

Amy Edalji MD & R Roger Komer MD is located at 1180 Beacon St Suite 5A, Brookline, MA 02446. The listed phone number is (617) 739-6300.

What is Amy Edalji MD & R Roger Komer MD's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Is Amy Edalji MD & R Roger Komer MD enrolled in Medicare?

Yes. Amy Edalji MD & R Roger Komer MD is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Amy Edalji MD & R Roger Komer MD?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Amy Edalji MD & R Roger Komer MD, in Cardiovascular Disease (Cardiology) 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.

What insurance does Amy Edalji MD & R Roger Komer MD accept?

Health plans from Anthem Blue Cross and Blue Shield list Amy Edalji MD & R Roger Komer MD as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Amy Edalji MD & R Roger Komer MD was last updated on March 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.