Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ami Komlanvi, PA-C

Individual provider Physician Assistant · NPI 1265874366

Ami Komlanvi, PA-C is a Physician Assistant in Lakeville, Minnesota. Qualified in 2013, 13 years ago. Practices with Fairview Clinics, a 806-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
13
Licensed in
MN
In the registry since
2013
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

18580 Joplin Ave
Lakeville, MN 55044-4218
Phone: (952) 892-9500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 11347 (MN)

Record details

NPI number1265874366
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJuly 18, 2013
Last updated in NPPESNovember 2, 2022
Certification dateNovember 2, 2022
Mailing address18580 Joplin Ave, Lakeville, MN 55044-4218

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Fairview Clinics — 806 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Lakeville