DR. JASON JON KOMITAU (M.D.) – Family Medicine Physician, NPI 1356340152

DR. JASON JON KOMITAU (M.D.) is a healthcare provider. based in Westlake, Ohio. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 35084871 (OH). The NPI Number for DR. JASON JON KOMITAU (M.D.) is 1356340152

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
DR. JASON JON KOMITAU (M.D.)
NPI
1356340152
Phone
(440) 899-5555
Address
30033 CLEMENS RD
Enumeration Date
14 July 2005
Last Update Date
14 February 2008

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF OHIO
Secondary Phone
4406956740
Graduation Year
2002 (24 years ago)
PAC ID
3577593839
Group Practice PAC ID
1850203555
Professional Enrollment ID
I20080204000316
Address ID
OH440116401AV1813XRDXX301
Telehealth
Yes
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

4,431 FAMILY PRACTICE in OH

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Provider Addresses for DR. JASON JON KOMITAU (M.D.)

  • 30033, Clemens Road, Westlake, Cuyahoga County, Ohio, 44145, United States

    WESTLAKE, OH 441451021

    Phone: (440) 899-5555

    Fax: (440) 808-2995

    Mailing address matches the actual address.

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: 2008-02-04

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
I20080204000316IFamily PracticeOHTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes405247$0
99213Established patient office or other outpatient visit, 20-29 minutes9574$0
99212Established patient office or other outpatient visit, 10-19 minutes2318$0
99495Transitional care management services for problem of at least moderate complexity1111$0
View full utilization report →

Insurance plans in this area (ZIP 44145)

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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: 1850203555View full group profile
NameSpecialtyState
-NV
Nephrology, Internal MedicineOH
-OH
-MI
Nurse PractitionerOH
General Surgery, Anesthesiology, Critical Care (Intensivists)OH
Certified Registered Nurse Anesthetist (Crna)OH
-OH
-MN
Nurse PractitionerOH

Reviews

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Frequently asked questions

Where can patients find DR. JASON JON KOMITAU (M.D.)'s NPI?
You can confirm DR. JASON JON KOMITAU (M.D.) with NPI 1356340152; it appears in the national provider directory.
Does this profile mean DR. JASON JON KOMITAU (M.D.) is currently active?
Yes — DR. JASON JON KOMITAU (M.D.) appears active in the national provider directory.
What does DR. JASON JON KOMITAU (M.D.) treat or focus on?
Patients typically see DR. JASON JON KOMITAU (M.D.) under the specialty Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. JASON JON KOMITAU (M.D.)?
The page summarizes Westlake, Ohio for DR. JASON JON KOMITAU (M.D.); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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