DR. DAVID KOMASARA (D.O.) – Emergency Medical Services (Emergency Medicine) Physician, NPI 1861433302

DR. DAVID KOMASARA (D.O.) is a healthcare provider. based in Farmington hills, Michigan. specializing in EMERGENCY MEDICINE. They hold the professional credentials D.O.. They hold a License No. 5101011074 (MI). The NPI Number for DR. DAVID KOMASARA (D.O.) is 1861433302

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
DR. DAVID KOMASARA (D.O.)
NPI
1861433302
Phone
Not provided
Address
28868 SALEM RD
Enumeration Date
8 June 2006
Last Update Date
4 November 2014

Doctor Profile

Medical School Name
MIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Secondary Phone
9899126036
Graduation Year
1990 (36 years ago)
PAC ID
3072425610
Group Practice PAC ID
8022910363
Professional Enrollment ID
I20180727001673
Address ID
MI484131275BA684XXSTXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,158 EMERGENCY MEDICINE in MI

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Provider Addresses for DR. DAVID KOMASARA (D.O.)

  • 28868 SALEM RD

    FARMINGTON HILLS, MI 483343138

    Phone:

    Type: Mailing

  • Ascension Providence Hospital, Southfield Campus, 16001, West 9 Mile Road, Southfield, Oakland County, Michigan, 48075, United States

    SOUTHFIELD, MI 480754818

    Phone: (248) 849-3000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $47.

Total Amount is formed as General ($47) + Research ($0) + Ownership ($0) = $47.

Last reported payment date: 2023-11-06 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($47).

Total Amount

$47

General + Research + Ownership

Payments

1

Total payment records

General Amount

$47

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-06

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: 2005-03-07

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
I20050307000403IEmergency MedicineMITBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48334)

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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: 8022910363View full group profile
NameSpecialtyState
-MI
Nurse PractitionerMI
Nurse PractitionerMI
P O D I A T R YNC
Certified Registered Nurse Anesthetist (Crna)MI
Nurse PractitionerMI
Physician AssistantMI
Hematology/Oncology, Internal MedicineMI
Internal MedicineMI
-MI

Reviews

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Frequently asked questions

How do payers reference DR. DAVID KOMASARA (D.O.)?
For DR. DAVID KOMASARA (D.O.), use NPI 1861433302 as the unique 10-digit identifier.
Active or inactive — what applies to DR. DAVID KOMASARA (D.O.)?
You should see DR. DAVID KOMASARA (D.O.) as active in CMS-hosted NPPES data.
What area of care is associated with DR. DAVID KOMASARA (D.O.)?
DR. DAVID KOMASARA (D.O.)'s record emphasizes Emergency Medical Services (Emergency Medicine) Physician. Clinical services aligned with this taxonomy classification.
Where in Michigan is DR. DAVID KOMASARA (D.O.) registered?
Use Farmington Hills, Michigan as the headline location for DR. DAVID KOMASARA (D.O.) here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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