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

Komivi Womitso, MD

Individual provider Family Medicine Physician · NPI 1588017560

Komivi Womitso, MD is a Family Practice in Indianapolis, Indiana. Qualified in 2009, 17 years ago. Practices with Iu Health Medical Group, LLC, a 4,351-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
17
Licensed in
IN
In the registry since
2016
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1040 Wishard Blvd
Indianapolis, IN 46202-2872
Phone: (317) 962-8893
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1040 Wishard Blvd, Indianapolis, IN 46202-2872 — (317) 962-8893

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 01084238A (IN)

Record details

NPI number1588017560
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 14, 2016
Last updated in NPPESOctober 3, 2025
Certification dateOctober 3, 2025

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Iu Health Medical Group, Llc — 4351 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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