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MICHAEL KOMIN MD MEDICAL CORPORTION
NPI 1164696449
Preferred Provider Organization in Shafter, CA

Active since April 17, 2008
1160 E LERDO HWY STE H, SHAFTER, CA 93263(661) 746-1503(855) 576-4860 Get Directions Write a Review

NPPES record last updated: January 2, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Michael Komin Md Medical Corportion NPPES

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

MICHAEL KOMIN MD MEDICAL CORPORTION (NPI 1164696449) is a healthcare organization registered as a preferred provider organization in Shafter, California and active in the NPI registry since April 2008. The organization lists Michael L Komin, Doctor, as its authorized official.

NPPES Registry Identity

NPI1164696449
Entity TypeOrganization
Primary Taxonomy305R00000X
Legal Business NameMICHAEL KOMIN MD MEDICAL CORPORTION
Location Address1160 E LERDO HWY STE HShafter, CA 93263-9417
Mailing Address1160 E Lerdo Hwy Ste HShafter, CA 93263-9417 · (661) 746-1503 · Fax (855) 576-4860
Phone(661) 746-1503
Fax(855) 576-4860
Organization SubpartNo
Authorized OfficialMichael L KominDoctor · (661) 630-5890
Enumeration DateApril 17, 2008
Last NPPES UpdateJanuary 2, 2025
NPPES CertifiedJanuary 2, 2025
✔ NPI 1164696449 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreferred Provider OrganizationManaged Care Organizations
Taxonomy Code305R00000X
License✔ Licensed in CA · 00A762140
Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
1160 E LERDO HWY STE H, Shafter, CA 93263
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael Komin Md Medical Corportion is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Michael Komin MD Medical Corportion, which bills Medicare for the services this clinician delivers.

Clinician (1)

Michael Komin, M.D.
Family Practice
NPI 1437104858
1160 E LERDO HWY STE H
Shafter, CA 93263
(661) 746-1503
✔ PECOS✔ Accepts MedicareSame 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 Michael Komin MD Medical Corportion's NPI number?

The NPI number for Michael Komin MD Medical Corportion is 1164696449. It was assigned to this organization in the NPPES registry on April 17, 2008.

Where is Michael Komin MD Medical Corportion located?

Michael Komin MD Medical Corportion is located at 1160 E Lerdo Hwy Ste H, Shafter, CA 93263. The listed phone number is (661) 746-1503.

What is Michael Komin MD Medical Corportion's specialty?

The primary specialty registered for this NPI is Preferred Provider Organization with taxonomy code 305R00000X.

Is Michael Komin MD Medical Corportion enrolled in Medicare?

Yes. Michael Komin MD Medical Corportion is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Michael Komin MD Medical Corportion?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Michael Komin MD Medical Corportion. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Michael Komin MD Medical Corportion was last updated on January 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.