DR. KOMAL RASTOGI (MD) – Neurology Physician, NPI 1063774669

DR. KOMAL RASTOGI (MD) is a healthcare provider. based in Layton, Utah. specializing in NEUROLOGY. They hold the professional credentials MD. They hold a License No. ME166731 (FL). The NPI Number for DR. KOMAL RASTOGI (MD) is 1063774669

Main info

Male
Sole Proprietor
14 Years Of Experience
Accepts Medicare Assignment
Name
DR. KOMAL RASTOGI (MD)
NPI
1063774669
Phone
(801) 773-7500
Address
1492 W Antelope Dr Ste 203
Enumeration Date
11 June 2012
Last Update Date
19 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2012 (14 years ago)
PAC ID
4082906342
Group Practice PAC ID
4587074356
Professional Enrollment ID
I20190102001980
Address ID
UT841193602WE2965X3500300

Contacts

FHIR Endpoint
https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/
Secure Messaging
krastogi907046@direct.ketteringhealth.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness85
Years active:13State licenses:4Other namesUpdated within 12 months

218 NEUROLOGY in UT

Provider Addresses for DR. KOMAL RASTOGI (MD)

  • 1492 W Antelope Dr Ste 203

    Layton, UT 840411141

    Phone: (801) 773-7500

    Type: Location

  • 11215 Metro Pkwy Ste 100

    Fort Myers, FL 339661206

    Phone: (239) 208-2206

    Type: Location

  • 1492 W ANTELOPE DR STE 203

    LAYTON, UT 840411141

    Phone: (801) 773-7500

    Type: Mailing

  • 2801 N Gantenbein Ave

    Portland, OR 972271623

    Phone: (503) 413-8407

    Type: Location

  • 630 Eaton Ave

    Hamilton, OH 450132767

    Phone: (513) 867-2000

    Type: Location

  • 7181 S CAMPUS VIEW DR

    WEST JORDAN, UT 840844312

    Phone: (801) 965-3505

    Type: Mailing

  • 2965 W 3500 S

    WEST VALLEY CITY, UT 841193602

    Phone: (801) 965-3600

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 123 Open Payments records for all available years, with a total value of $3,148.

Total Amount is formed as General ($3,148) + Research ($0) + Ownership ($0) = $3,148.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Medtronic, Inc. ($431).

Total Amount

$3,148

General + Research + Ownership

Payments

123

Total payment records

General Amount

$3,148

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

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: 2024-07-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

4

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
I20190102001980INeurologyUTTBD
I20240319001935INeurologyOHTBD
I20240327002529INeurologyFLTBD
I20240725004419INeurologyORTBD

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
96127Assessment of emotional or behavioral problems182160$0
95886Needle measurement of electrical activity in arm or leg muscles, complete study14797$0
99214Established patient office or other outpatient visit, 30-39 minutes143122$0
99204New patient office or other outpatient visit, 45-59 minutes8181$0
99213Established patient office or other outpatient visit, 20-29 minutes6764$0
View full utilization report →

Insurance plans in this area (ZIP 84041)

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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: 4587074356View full group profile
NameSpecialtyState
Internal MedicineAZ
O B S T E T R I C S/ G Y N E C O L O G YUT
Family PracticeUT
Pediatric MedicineUT

Reviews

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Frequently asked questions

Can I use this page to confirm DR. KOMAL RASTOGI (MD)'s NPI?
Yes. DR. KOMAL RASTOGI (MD) is listed with NPI 1063774669 in the public NPI dataset.
Is DR. KOMAL RASTOGI (MD) still practicing?
DR. KOMAL RASTOGI (MD) is currently listed as active in the public NPI registry.
What is DR. KOMAL RASTOGI (MD)'s specialty?
The listing groups DR. KOMAL RASTOGI (MD) with Neurology Physician. Clinical services aligned with this taxonomy classification.
What area does DR. KOMAL RASTOGI (MD) serve?
DR. KOMAL RASTOGI (MD)'s listing highlights Layton, Utah; more addresses can appear in NPPES.
How many locations tie to this NPI?
9 practice locations appear in the available data.

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