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DR. ALEKSANDR KOMAROV DPM
NPI 1891066999
Podiatrist - Foot & Ankle Surgery in Berwyn, IL

Active since January 20, 2012PECOS EnrolledAccepts Medicare Assignment
2618 RIDGELAND AVE, #1, BERWYN, IL 60402(708) 788-5253(708) 788-3618 Get Directions Write a Review

NPPES record last updated: December 5, 2013. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Aleksandr Komarov Dpm NPPES

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

DR. ALEKSANDR KOMAROV DPM (NPI 1891066999) is an individual foot & ankle surgery provider in Berwyn, Illinois, licensed in Illinois (016.005478) and active in the NPI registry since January 2012. He is enrolled in Medicare PECOS, is affiliated with Morton Plant Hospital, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1891066999
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameDR. ALEKSANDR KOMAROVCredential: DPM
Location Address2618 RIDGELAND AVE, #1Berwyn, IL 60402-5184
Mailing Address1360 N Lake Shore Dr, #708Chicago, IL 60610-8442
Phone(708) 788-5253
Fax(708) 788-3618
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJanuary 20, 2012
Last NPPES UpdateDecember 5, 2013
✔ NPI 1891066999 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in IL · 016.005478
2618 RIDGELAND AVE, Berwyn, IL 60402
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Aleksandr Komarov Dpm 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 ID4183877129
PECOS Enrollment IDI20200123002349
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 Aleksandr Komarov reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kussel & Associates Inc.
996 mi
Foot & Ankle Surgery
2378 SUNSET POINT RD
Clearwater, FL 33765
  • Reassigned Medicare billing, Florida enrollment
  • 7 clinicians in this Medicare group
NPI 1679741920 (727) 797-5007

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 6

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.

Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
2,149 services1,165 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.
224 services129 patients
Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes 99342
A new patient home visit is a 30-minute appointment where a healthcare provider comes to your home to assess your health needs. This can include discussing your medical history, current conditions, and treatment plans. It's a convenient way to receive care in your own environment.
195 services195 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
39 services39 patients
Removal of tissue from wound, 20.0 sq cm or less 97597
This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.
22 services14 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
17 services16 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Morton Plant Hospital

Acute Care Hospitals · Clearwater, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100127
Location300 Pinellas StClearwater, FL 33756 · Pinellas County
Emergency services Birthing friendly

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 Aleksandr Komarov's NPI number?

The NPI number for Aleksandr Komarov is 1891066999. It was assigned to this individual provider in the NPPES registry on January 20, 2012.

Where is Aleksandr Komarov located?

Aleksandr Komarov practices at 2618 Ridgeland Ave #1, Berwyn, IL 60402. The listed phone number is (708) 788-5253.

What is Aleksandr Komarov's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Aleksandr Komarov enrolled in Medicare?

Yes. Aleksandr Komarov 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.

Which organization bills Medicare for Aleksandr Komarov's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Aleksandr Komarov reassigns Medicare benefits to Kussel & Associates Inc. (Clearwater, FL). 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 Aleksandr Komarov's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Aleksandr Komarov accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Florida Blue (BlueCross BlueShield FL) and 2 other insurers list Aleksandr Komarov 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.

Is Aleksandr Komarov affiliated with any hospitals?

According to CMS data, Aleksandr Komarov is affiliated with Morton Plant Hospital.

When was this NPI record last updated?

The NPPES record for Aleksandr Komarov was last updated on December 5, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.