KOMSU F MAMUYA (MD) – Cardiovascular Disease Physician, NPI 1073588695

KOMSU F MAMUYA (MD) is a healthcare provider. based in Rocky hill, Connecticut. specializing in CARDIOVASCULAR DISEASE (CARDIOLOGY). They hold the professional credentials MD. They hold a License No. 047922 (CT). The NPI Number for KOMSU F MAMUYA (MD) is 1073588695

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
KOMSU F MAMUYA (MD)
NPI
1073588695
Phone
(860) 258-3470
Address
2110 SILAS DEANE HIGHWAY
Enumeration Date
17 February 2006
Last Update Date
8 March 2012

Doctor Profile

Medical School Name
HOWARD UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
8602583480
Graduation Year
1996 (30 years ago)
PAC ID
8628087400
Group Practice PAC ID
7517863749
Professional Enrollment ID
I20090807000099
Address ID
CT060331256GL289XXBLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

669 CARDIOVASCULAR DISEASE (CARDIOLOGY) in CT

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Provider Addresses for KOMSU F MAMUYA (MD)

  • 2110, Silas Deane Highway, Rocky Hill, Hartford County, Connecticut, 06067, United States

    ROCKY HILL, CT 06067

    Phone: (860) 258-3470

    Fax: (860) 571-6800

    Type: Mailing

  • 1260, Silas Deane Highway, South Wethersfield, Wethersfield, Hartford County, Connecticut, 06109, United States

    WETHERSFIELD, CT 061094362

    Phone: (860) 258-3477

    Fax: (860) 571-6802

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 141 Open Payments records for all available years, with a total value of $4,801.

Total Amount is formed as General ($4,801) + Research ($0) + Ownership ($0) = $4,801.

Last reported payment date: 2024-12-22 • Largest payer in this snapshot: Amgen Inc. ($841).

Total Amount

$4,801

General + Research + Ownership

Payments

141

Total payment records

General Amount

$4,801

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-22

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-08-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090807000099ICardiovascular Disease (Cardiology)CTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only1,326937$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report708460$0
99214Established patient office or other outpatient visit, 30-39 minutes665399$0
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function187187$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes16269$0
View full utilization report →

Insurance plans in this area (ZIP 06067)

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Provider's Procedures

KOMSU F MAMUYA (MD) performs procedures in CARDIOVASCULAR DISEASE (CARDIOLOGY). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CARDIOVASCULAR DISEASE (CARDIOLOGY)CT78452Nuclear medicine study of vessels of heart using drugs or exercise multiple studies6161

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7517863749View full group profile
NameSpecialtyState
Nurse PractitionerCT
Diagnostic RadiologyRI
Pulmonary Disease, Critical Care (Intensivists)CT
Interventional Radiology, Diagnostic RadiologyCT
O B S T E T R I C S/ G Y N E C O L O G YCT
Diagnostic RadiologyMN
Diagnostic RadiologyMA
-CT
Diagnostic RadiologyMA
Diagnostic RadiologyCT

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Frequently asked questions

What NPI should I save for KOMSU F MAMUYA (MD)?
Save NPI 1073588695 if you need a stable reference for KOMSU F MAMUYA (MD).
Is KOMSU F MAMUYA (MD) currently active in the NPI registry?
CMS-published data lists KOMSU F MAMUYA (MD) as an active registrant.
What field does KOMSU F MAMUYA (MD) work in?
You can think of KOMSU F MAMUYA (MD) as practicing within Cardiovascular Disease Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for KOMSU F MAMUYA (MD)?
The page summarizes Rocky Hill, Connecticut for KOMSU F MAMUYA (MD); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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