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LYDIA T KOMARNICKY MD
NPI 1487610820
Radiology - Radiation Oncology in Philadelphia, PA

Active since April 25, 2006PECOS Enrolled
216 N BROAD ST, PHILADELPHIA, PA 19102(215) 255-7822(215) 255-7825 Get Directions Write a Review

NPPES record last updated: August 8, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 8, 2019, Jan 2, 2019, May 17, 2016 (3 updates tracked since 2016).

About Lydia T Komarnicky Md NPPES

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

LYDIA T KOMARNICKY MD (NPI 1487610820) is an individual radiation oncology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD029146E) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1487610820
Entity TypeIndividualFemale
Primary Taxonomy2085R0001X
Provider Legal NameLYDIA T KOMARNICKYCredential: MD
Location Address216 N BROAD STPhiladelphia, PA 19102
Mailing Address216 N Broad StPhiladelphia, PA 19102-1121 · (215) 255-7822 · Fax (215) 255-7825
Phone(215) 255-7822
Fax(215) 255-7825
Sole ProprietorNo
Enumeration DateApril 25, 2006
Last NPPES UpdateAugust 8, 20193 updates tracked since enumeration
✔ NPI 1487610820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Radiation OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0001X
License✔ Licensed in PA · MD029146E
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
216 N BROAD ST, Philadelphia, PA 19102
Open in Google Maps ↗

Secondary Practice Locations 4

Location 1245 N 15th StPhiladelphia, PA 19102-1101 · Phone (215) 762-4984 · Fax (215) 762-3053
Location 2216 N Broad StPhiladelphia, PA 19102 · Phone (215) 255-7822 · Fax (215) 255-7825
Location 3111 S 11th StPhiladelphia, PA 19107-4824 · Phone (215) 955-6702
Location 42301 S Broad StPhiladelphia, PA 19148-3542 · Phone (215) 952-1444

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lydia T Komarnicky Md 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 Reassignment

Medicare enrollment records show Lydia Komarnicky reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Drexel University
Same address
End-Stage Renal Disease (ESRD) Treatment
230 N BROAD ST, 18TH FLOOR
Philadelphia, PA 19102
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 335 clinicians in this Medicare group
NPI 1598134611 (215) 762-7038

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 8

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.

Complex radiation therapy planning 77263
Complex radiation therapy planning is a process to determine the most effective way to deliver radiation to a specific area in your body. It involves detailed imaging to map your body's structure, allowing for precise targeting of cancer cells while sparing healthy tissue.
34 services34 patients
Design and construction of complex radiation treatment device 77334
The design and construction of a complex radiation treatment device is a process where a specialized instrument is created. This device targets harmful cells with high-energy rays to destroy or damage them, while minimizing impact on healthy cells. This aids in treating conditions like cancer.
34 services34 patients
Surface application of low dose rate source 77789
Surface application of low dose rate source is a treatment method in radiation therapy. It involves placing a radioactive source directly on the skin's surface. The aim is to destroy cancer cells while minimizing harm to healthy tissues. This method is often used for skin cancers.
30 services30 patients
Intermediate radiation therapy planning for delivery of internal radiation 77317
Intermediate radiation therapy planning involves the careful mapping of the area to be treated. This is crucial for internal radiation, where small radioactive sources are placed inside the body. This process ensures precise targeting of the affected area, minimizing harm to healthy tissues.
17 services17 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
17 services17 patients
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.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19102 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
$180.99 typical visit price
range $59.88 – $180.99
Typical copayment $45.24 (range $14.97 – $45.24)
Most-billed visit code 99205
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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 20

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

DR. LISSA BETH LEVIN MIZRAHI M.D.
Internal Medicine (Nephrology)
216 N BROAD ST, 5TH FLOOR
PHILADELPHIA, PA 19102
Philadelphia County (215) 762-2688
MRS. KYMBERLEE A MONTGOMERY CRNP
Nurse Practitioner
216 N BROAD ST, 4TH FLOOR
PHILADELPHIA, PA 19102
Philadelphia County (215) 762-3600
GARY S XIAO MD
Surgery
216 N BROAD ST, 5TH FL
PHILADELPHIA, PA 19102
Philadelphia County (215) 762-3900
DR. SAHIL SAGAR BANKA M.D.
Internal Medicine (Interventional Cardiology)
216 N BROAD ST, 2ND FLOOR, FEINSTEIN BUILDING
PHILADELPHIA, PA 19102
Philadelphia County (215) 762-3333
GREGORY MALAT
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
216 N BROAD ST, MS 417 5TH FLOOR FEINSTEIN BLDG
PHILADELPHIA, PA 19102
Philadelphia County (215) 762-3823
OWEN C MONTGOMERY MD
Obstetrics & Gynecology
216 N BROAD ST, 4TH FLOOR FEINSTEIN
PHILADELPHIA, PA 19102
Philadelphia County (215) 762-3600
DREXEL UNIVERSITY
Radiology (Radiation Oncology)
216 N BROAD ST, 1ST FLOOR
PHILADELPHIA, PA 19102
Philadelphia County (215) 762-8409
BURCKHARDT RINGE MD
Transplant Surgery
216 N BROAD ST, 5TH FL
PHILADELPHIA, PA 19102
Philadelphia County (215) 762-3900

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 Lydia Komarnicky's NPI number?

The NPI number for Lydia Komarnicky is 1487610820. It was assigned to this individual provider in the NPPES registry on April 25, 2006.

Where is Lydia Komarnicky located?

Lydia Komarnicky practices at 216 N Broad St, Philadelphia, PA 19102. The listed phone number is (215) 255-7822.

What is Lydia Komarnicky's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

Is Lydia Komarnicky enrolled in Medicare?

Yes. Lydia Komarnicky is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Lydia Komarnicky's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lydia Komarnicky reassigns Medicare benefits to Drexel University (Philadelphia, PA). 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 Lydia Komarnicky'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 Lydia Komarnicky was last updated on August 8, 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.