DR. JULIE A KOMAROW MD
NPI 1295757862
Family Medicine in Bonney Lake, WA
About Dr. Julie A Komarow Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JULIE A KOMAROW MD (NPI 1295757862) is an individual family medicine provider in Bonney Lake, Washington, licensed in Washington (MD00021737) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Julie A Komarow Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Julie Komarow reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Puyallup, WA 98374
- Reassigned Medicare billing, Washington enrollment
- 58 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 98391 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BONNEY LAKE, WA 98391
BONNEY LAKE, WA 98391
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 Julie Komarow's NPI number?
The NPI number for Julie Komarow is 1295757862. It was assigned to this individual provider in the NPPES registry on July 24, 2006.
Where is Julie Komarow located?
Julie Komarow practices at 10004 204th Ave E #3400, Bonney Lake, WA 98391. The listed phone number is (253) 848-5951.
What is Julie Komarow's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Julie Komarow enrolled in Medicare?
Yes. Julie Komarow is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Julie Komarow's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Julie Komarow reassigns Medicare benefits to South Hill Family Medicine PC (Puyallup, WA). The 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 Julie Komarow's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Julie Komarow accept?
Health plans from Premera Blue Cross Blue Shield of Alaska list Julie Komarow 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 Julie Komarow was last updated on January 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Dr. Julie A Komarow, MD · NPI 1295757862
Family Medicine physician in Bonney Lake, Washington. Individual provider, active in the CMS NPPES registry since July 24, 2006.
## Identity
- **NPI:** 1295757862 (Entity type: Individual)
- **Enumerated:** July 24, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** MD00021737 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 10004 204TH AVE E, #3400, Bonney Lake, WA 98391-6539
- **Phone:** (253) 848-5951 · **Fax:** (253) 845-7073
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** South Hill Family Medicine PC (NPI 1538253331, Puyallup, WA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 25, 2016
- **Other identifiers:** Medicare PIN 88699484 (WA); Medicaid 1016963 (WA)
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Source: [NPI Profile](https://npiprofile.com/npi/1295757862) · Data from the CMS NPPES public registry.