Individual provider Active NPI

Sailesh Konda, M.D.

  • MOHS-Micrographic Surgery Physician
  • Brooksville, FL
National Provider Identifier
1104051515
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
ME125090 Issued in FL
Practice address
17222 Hospital Blvd Ste 346
Brooksville, FL 34601-8925
Phone
(352) 796-3334
Fax
(352) 796-3323
NPI assigned
May 29, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Procedural Dermatology Physician 207NS0135X ME125090 FL
MOHS-Micrographic Surgery Physician 207ND0101X ME125090 FL Primary
Dermatology Physician 207N00000X ME125090 FL

Addresses

Primary practice location

17222 Hospital Blvd Ste 346
Brooksville, FL 34601-8925

Mailing address

17222 Hospital Blvd Ste 346
Brooksville, FL 34601-8925
Phone (352) 796-3334

Other practice location 1

4037 NW 86th Ter
4th Floor
Gainesville, FL 32606-9277
Phone (352) 594-1942

Other identifiers 1

IdentifierTypeStateIssuer
015594200MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150928002485 FL Practitioner - Micrographic Dermatologic Surgery (MDS)Practitioner - Dermatology 8628295912 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Micrographic Dermatologic Surgery (MDS)Also: Dermatology
Education
George Washington University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Clinical Practice Association IncGroup PAC ID 0345146254, 1,886 clinicians
Center for Aesthetic Plastic Surgery PAGroup PAC ID 4284739079, 7 clinicians

Practice addresses (Care Compare)

1600 SW Archer
Gainesville, FL 32610-3003

1600 SW Archer Rd
Gainesville, FL 32610-3003

1600 SW Archer Rd RM
1191 Uf Health Surgical Specialists Shands
Gainesville, FL 32610-3003
Phone (352) 265-0535

17222 Hospital Blvd
Suite 346
Brooksville, FL 34601-8925
Phone (352) 796-3334

2000 SW Archer Rd
Uf Health Congenital Heart Center Medical P
Gainesville, FL 32610-3003
Phone (352) 265-8250

2001 SW 13TH St
Gainesville, FL 32608-1532
Phone (352) 265-8990

4037 NW 86TH Ter
FL 3
Gainesville, FL 32606-9277
Phone (352) 265-7777

4037 NW 86TH Terr 2ND Floor
Gainesville, FL 32606-9277

4037 NW 86TH Terr Floor
Gainesville, FL 32606-9277

Uf Health Test Site Pop Up 1600 SW Ar
Gainesville, FL 32610-3003
Phone (352) 392-1161

Hospital & facility affiliations

  • Uf Health Shands Hospital Hospital, Gainesville, FL, CCN 100113

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision278
Removal of skin lesions121
Removal of skin cancer990
Skin biopsy100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME125090FLMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Metrohealth System Current Accepting new patients
Center for Aesthetic Plastic Surgery PA Dermatology CurrentSince Nov 1, 2022 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Sep 14, 2015 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Sep 14, 2015 Accepting new patients

Locations

3402 N Lecanto Hwy
Beverly Hills, FL 34465
Phone (352) 270-8310

17222 Hospital Blvd
Ste 346
Brooksville, FL 34601
Phone (352) 593-5963

5915 W Gulf To Lake Hwy
Crystal River, FL 34429
Phone (352) 794-3872

2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990

1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077

4037 NW 86th Ter
Fl 4
Gainesville, FL 32606
Phone (352) 594-1500

8425 Northcliffe Blvd
Ste 102
Spring Hill, FL 34606
Phone (352) 596-1040

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: skonda192000@direct.shands.ufl.edu
  • Direct secure messaging: sailesh1k@caps.emadirect.md
  • Direct secure messaging: skonda100410@direct.metrohealth.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1243555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765929600000",
    "number": "1104051515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17222 HOSPITAL BLVD STE 346",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346018925",
            "telephone_number": "352-796-3334",
            "fax_number": "352-796-3323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17222 HOSPITAL BLVD STE 346",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346018925",
            "telephone_number": "352-796-3334",
            "fax_number": "352-796-3323"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4037 NW 86th Ter",
            "address_2": "4th Floor",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "326069277",
            "country_code": "US",
            "telephone_number": "352-594-1942",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KONDA",
        "first_name": "SAILESH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-05-29",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "FL",
            "license": "ME125090",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "FL",
            "license": "ME125090",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME125090",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015594200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooksville, FL

Sources for this page

Verify at the official NPI Registry.