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

Dr. Renaud Srivatsav Komandur, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1912529900

Dr. Renaud Srivatsav Komandur, DO is an Emergency Medicine in Lumberton, North Carolina. Graduated from Campbell Univ School of Osteopathic Medicine in 2020, 6 years ago. Practices with Wake Forest Emergency Providers, a 489-clinician group and accepts Medicare assignment. Licensed in North Carolina and Washington.

Years since qualifying
6
Trained at
Campbell Univ School of Osteopathic Medicine
Licensed in
NC, WA
In the registry since
2020
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Lumberton, NC

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 202203195 (NC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Emergency Medicine Physician Taxonomy 207P00000X · Licence OP61398807 (WA)

Record details

NPI number1912529900
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 12, 2020
Last updated in NPPESSeptember 14, 2023
Certification dateSeptember 14, 2023

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolCAMPBELL UNIV SCHOOL OF OSTEOPATHIC MEDICINE
Graduated 2020 (6 years in practice)
Group practice Wake Forest Emergency Providers — 489 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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