RAHUL KOMATI (NPI# 1164840906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164840906 |
| Entity Type | Individual |
| Full Name | RAHUL KOMATI |
| Credential | MD |
| Practice Address |
5841 S Maryland Ave # Mc2114 Chicago IL 60637 |
| Mailing Address |
1100 Johnson Ferry Rd Ste 593 Atlanta GA 30342-1733 |
| Practice Telephone | 7737021864 |
| Mailing Telephone | 4042559096 |
| Enumeration Date | 2014-03-30 |
| Last Update Date | 2020-03-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207W00000X | Ophthalmology | 4301105302 | MI | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care | ||
| N | 207WX0107X |
Ophthalmology Specialization: Retina Specialist |
036.146605 | IL | Allopathic & Osteopathic Physicians |
| Y | 207WX0107X |
Ophthalmology Specialization: Retina Specialist |
84855 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
5841 S MARYLAND AVE # MC2114 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60637 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639436777 | Asim Visal Farooq | Ophthalmology | 5841 S Maryland Ave # Mc2114, Chicago, IL 60637-1443 | 2012-04-13 |
| 1710448162 | Jacob Kanter | Ophthalmology | 5841 S Maryland Ave # Mc2114, Chicago, IL 60637-1443 | 2019-03-28 |
| 1730640236 | Alessandra Hirsch | Obstetrics & Gynecology | 5841 S Maryland Ave # Mc2114, Chicago, IL 60637-1443 | 2019-03-27 |
| 1063972370 | Lindsay Youngmi Chun | Internal Medicine | 5841 S Maryland Ave # Mc2114, Chicago, IL 60637-1443 | 2019-03-22 |
| 1033679493 | Shivam Vipul Amin | Ophthalmology | 5841 S Maryland Ave # Mc2114, Chicago, IL 60637-1443 | 2019-03-21 |
| 1952898520 | Farida Esaa Hakim | Ophthalmology | 5841 S Maryland Ave # Mc2114, Chicago, IL 60637-1443 | 2018-04-18 |
| 1932605672 | Zhuangjun Si | Ophthalmology | 5841 S Maryland Ave # Mc2114, Chicago, IL 60637 | 2018-04-02 |
| 1871943092 | Steven Quan | Optometrist | 5841 S Maryland Ave # Mc2114, Chicago, IL 60637-1443 | 2016-06-18 |
| 1497101018 | Blake Williams | Ophthalmology | 5841 S Maryland Ave # Mc2114, Chicago, IL 60637-1447 | 2016-05-12 |
| 1154717809 | Christopher Joseph Lehmann | Internal Medicine | 5841 S Maryland Ave # Mc2114, Chicago, IL 60637-1443 | 2015-04-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386263234 | Pooja Ramnani | Pharmacist | 5841 S Maryland Ace, Chicago, IL 60637 | 2020-04-10 |
| 1780220079 | Tara Coleman | Non-emergency Medical Transport (VAN) | 808 E. 63rd Street, Suite 135, Chicago, IL 60637 | 2019-11-21 |
| 1366003501 | Valerie Silas | Case Management | 6330 S King Drive, Chicago, IL 60637 | 2019-06-27 |
| 1205391620 | Derek Joseph Fiedler | Anesthesiology | University of Chicago, 5841 S Maryland Ave, Chicago, IL 60637 | 2019-02-11 |
| 1821573072 | Ugochinyere Ohaja | Registered Nurse | 5656 South Maryland Avenue, Chicago, IL 60637 | 2018-10-03 |
| 1053899138 | Won Hee Oh | Physician Assistant | 5841 S. Maryland Ave., Mc5040, Chicago, IL 60637 | 2018-08-01 |
| 1558854695 | Rasidat Adeduntan | Internal Medicine | 5841 S. Maryland Avenue, [7082], Chicago, IL 60637 | 2018-06-13 |
| 1194235283 | Melissa Ann Arangoa | Registered Nurse | 5841 S. Maryland Ave, Mc 1083, Chicago, IL 60637 | 2017-10-03 |
| 1558880633 | Marni Harris | Optometrist | 5841 S Maryland Ave # S421, Chicago, IL 60637 | 2017-09-11 |
| 1992235105 | Vidya Mahavadi | Pediatrics | 5841 S. Maryland Avenue, Mail Code 8016, Chicago, IL 60637 | 2017-06-20 |
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| Taxonomy Code | 207WX0107X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| Specialization | Retina Specialist |
| An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. |
| Notes: Source: American Society of Retina Specialists, www.asrs.org [1/1/2017: new] - Additional Resources: American Academy of Ophthalmology, www.aao.org. Macula Society, www.maculasociety.org. Retina Society, www.retinasociety.org. Association of University Professors of Ophthalmology, www.aupo.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366820441 | Omar Hassan | Ophthalmology | 1740 W Taylor St, Chicago, IL 60612-7232 | 2015-05-11 |
| 1235572173 | Ria Dirghayu Desai | Ophthalmology | 259 E Erie St Ste 1520, Chicago, IL 60611-3111 | 2013-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275739518 | Retina Macula Specialists, P.C. | Ophthalmology | 550 E. Boughton Road Suite 120, Bilingbrook, IL 60440 | 2007-06-25 |
| 1447243407 | Irma Ahmed | Ophthalmology | 550 E. Boughton Rd, Suite 120, Bolingbrook, IL 60440 | 2005-08-25 |
| 1689666885 | Michael A Grassi | Ophthalmology | 1012 95th St Ste 9, Naperville, IL 60564-5040 | 2005-08-16 |
| 1376022426 | Marion Eye Centers Ltd. | Ophthalmology | 621 S 2nd St, Greenville, IL 62246-1744 | 2018-08-09 |
| 1790211381 | Reitna Institute of Illinois | Ophthalmology | 8780 W Golf Rd, Ste 304, Niles, IL 60714-5602 | 2017-05-03 |
| 1023472560 | Chirag Shah | Ophthalmology | 71 W 156th St Ste 400, Harvey, IL 60426-4265 | 2016-04-11 |
| 1598121113 | Grassi Retina Md Sc | Ophthalmology | 1012 95th St, Suite 9, Naperville, IL 60564-5041 | 2016-01-12 |
| 1679836647 | Andrew W Francis | Ophthalmology | 303 W Lake St, Ste 303, Addison, IL 60101-2586 | 2012-06-24 |
| 1497046619 | Fatima Ahmed | Ophthalmology | 611 W Park St, Urbana, IL 61801-2529 | 2011-04-21 |
| 1790724045 | Kenneth I Resnick | Ophthalmology | 133 E Brush Hill Rd Ste 300, Elmhurst, IL 60126-5659 | 2006-06-05 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.