DR. ALEKSANDR KOMAROV (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1891066999

DR. ALEKSANDR KOMAROV (DPM) is a healthcare provider. based in Berwyn, Illinois. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. 016.005478 (IL). The NPI Number for DR. ALEKSANDR KOMAROV (DPM) is 1891066999

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
DR. ALEKSANDR KOMAROV (DPM)
NPI
1891066999
Phone
(708) 788-5253
Address
2618 RIDGELAND AVE
Enumeration Date
20 January 2012
Last Update Date
5 December 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8132503668
Graduation Year
2009 (17 years ago)
PAC ID
4183877129
Group Practice PAC ID
5193891604
Professional Enrollment ID
I20200123002349
Address ID
FL336062531TA1302XAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

1,038 PODIATRY in IL

Provider Addresses for DR. ALEKSANDR KOMAROV (DPM)

  • 2618 RIDGELAND AVE

    #1

    BERWYN, IL 604025184

    Phone: (708) 788-5253

    Fax: (708) 788-3618

    Type: Location

  • 1360 N LAKE SHORE DR

    #708

    CHICAGO, IL 606108442

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2020-01-23

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
I20200123002349IPodiatryFLTBD

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
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes1,8911,025$0
99213Established patient office or other outpatient visit, 20-29 minutes225117$0
99342Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes162162$0
99347Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes117117$0
99203New patient office or other outpatient visit, 30-44 minutes4141$0
View full utilization report →

Insurance plans in this area (ZIP 60402)

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Provider's Procedures

DR. ALEKSANDR KOMAROV (DPM) performs procedures in PODIATRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PODIATRYIL73630X-ray of foot, minimum of 3 views5032

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: 5193891604View full group profile
NameSpecialtyState
P O D I A T R YFL
P O D I A T R YFL

Reviews

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Frequently asked questions

What unique ID ties claims to DR. ALEKSANDR KOMAROV (DPM)?
NPI 1891066999 is assigned to DR. ALEKSANDR KOMAROV (DPM) under the national enumeration system.
Does this profile mean DR. ALEKSANDR KOMAROV (DPM) is currently active?
Yes — DR. ALEKSANDR KOMAROV (DPM) appears active in the national provider directory.
What kind of provider is DR. ALEKSANDR KOMAROV (DPM)?
The page reflects Foot & Ankle Surgery Podiatrist for DR. ALEKSANDR KOMAROV (DPM). Clinical services aligned with this taxonomy classification.
Where does public data place DR. ALEKSANDR KOMAROV (DPM)?
The snapshot lists Berwyn, Illinois for DR. ALEKSANDR KOMAROV (DPM); download NPPES for the complete set.
Is DR. ALEKSANDR KOMAROV (DPM) a real provider?
This page reflects official NPPES data for NPI 1891066999. Always confirm identity and privileges with the practice and licensing boards.

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