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SAIDIVYA KOMMA OD
NPI 1447888979
Optometrist in Greensboro, NC

Active since March 30, 2020PECOS EnrolledAccepts Medicare Assignment
1323 NEW GARDEN RD, GREENSBORO, NC 27410(336) 292-4516 Get Directions Write a Review

NPPES record last updated: August 11, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 11, 2023, Jul 19, 2021, Mar 30, 2020 (3 updates tracked since 2020).

About Saidivya Komma Od NPPES

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

SAIDIVYA KOMMA OD (NPI 1447888979) is an individual optometrist in Greensboro, North Carolina, licensed in North Carolina (2643) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1447888979
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameSAIDIVYA KOMMACredential: OD
Location Address1323 NEW GARDEN RDGreensboro, NC 27410-2722
Mailing Address2415 Regents Park LnGreensboro, NC 27455-1177 · (336) 809-3425
Phone(336) 292-4516
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 30, 2020
Last NPPES UpdateAugust 11, 20233 updates tracked since enumeration
NPPES CertifiedAugust 10, 2023
✔ NPI 1447888979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in NC · 2643
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1323 NEW GARDEN RD, Greensboro, NC 27410
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Secondary Practice Locations 2

Location 11601 Brenner AveSalisbury, NC 28144-2515 · Phone (704) 638-9000 ext. 13783
Location 21695 Kernersville Medical PkwyKernersville, NC 27284-7159 · Phone (336) 515-5000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Saidivya Komma Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6002213444
PECOS Enrollment IDI20210927003324
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
19 services11 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
15 services15 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27410 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SRINAVYA KOMMA OD
Optometrist
1323 NEW GARDEN RD
GREENSBORO, NC 27410
Guilford County (336) 292-4516
STAR OPTOMETRY NC PLLC
Optometrist
1323 NEW GARDEN RD
GREENSBORO, NC 27410
Guilford County (336) 292-4516

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 Saidivya Komma's NPI number?

The NPI number for Saidivya Komma is 1447888979. It was assigned to this individual provider in the NPPES registry on March 30, 2020.

Where is Saidivya Komma located?

Saidivya Komma practices at 1323 New Garden Rd, Greensboro, NC 27410. The listed phone number is (336) 292-4516.

What is Saidivya Komma's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Saidivya Komma enrolled in Medicare?

Yes. Saidivya Komma is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Saidivya Komma accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of NC and 3 other insurers list Saidivya Komma 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 Saidivya Komma was last updated on August 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.