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KOMAL AMIN M.D.
NPI 1467897058
General Practice in Commack, NY

Active since May 08, 2013PECOS Enrolled
25 FAIRFIELD WAY APT 1, COMMACK, NY 11725(631) 462-0473 Get Directions Write a Review

NPPES record last updated: April 3, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Komal Amin M.d. NPPES

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

KOMAL AMIN M.D. (NPI 1467897058) is an individual general practice provider in Commack, New York, licensed in New York (231868) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467897058
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameKOMAL AMINCredential: M.D.
Location Address25 FAIRFIELD WAY APT 1Commack, NY 11725-3414
Mailing Address25 Fairfield Way Apt 1Commack, NY 11725-3414
Phone(631) 462-0473
Sole ProprietorYes
Enumeration DateMay 8, 2013
Last NPPES UpdateApril 3, 2019
✔ NPI 1467897058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in NY · 231868
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedInternal Medicine · Addiction MedicineTaxonomy 207RA0401X · License 231868 (NY)
25 FAIRFIELD WAY APT 1, Commack, NY 11725
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Komal Amin M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Komal Amin reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Employee Assistance Resource Services
4.6 mi
Rehabilitation, Substance Use Disorder
278 E MAIN ST
Smithtown, NY 11787
  • Reassigned Medicare billing, New York enrollment
  • 6 clinicians in this Medicare group
NPI 1720196942 (631) 361-6960
Brookview Medical Associates, PLLC
11 mi
General Practice
80 ORVILLE DR STE 100
Bohemia, NY 11716
  • Reassigned Medicare billing, New York enrollment
  • 754 clinicians in this Medicare group
NPI 1871965855 (972) 715-3800

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 Komal Amin's NPI number?

The NPI number for Komal Amin is 1467897058. It was assigned to this individual provider in the NPPES registry on May 8, 2013.

Where is Komal Amin located?

Komal Amin practices at 25 Fairfield Way Apt 1, Commack, NY 11725. The listed phone number is (631) 462-0473.

What is Komal Amin's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Komal Amin enrolled in Medicare?

Yes. Komal Amin is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Komal Amin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Komal Amin reassigns Medicare benefits to 2 organizations: Employee Assistance Resource Services (Smithtown, NY) and Brookview Medical Associates, PLLC (Bohemia, NY). Each 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 Komal Amin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Komal Amin was last updated on April 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.