Active NPI
Satyasree S. Konda, M.D.
- Internal Medicine Physician
- Fremont, CA
National Provider Identifier
1306880679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- C52175
- Practice address
- 40910 Fremont Blvd
Fremont, CA 94538-4375 - Phone
- (510) 770-8040
- Fax
- (510) 770-8141
- NPI assigned
- Jun 16, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 41655 | MN | |
| Internal Medicine Physician | 207R00000X | C52175 | CA | Primary |
Addresses
Primary practice location
40910 Fremont Blvd
Fremont, CA 94538-4375
Mailing address
40910 Fremont Blvd
Fremont, CA 94538-4375
Phone (510) 770-8040
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170731002883 | CA | Order and Referring Only - Internal Medicine | 5395647614 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Berkeley Primary Care Medical Corporation | Past | Accepting new patients | |
| Sutter Gould Medical Foundation | Internal Medicine | Past | Accepting new patients |
Interoperability endpoints
- skonda287210@direct.ochin.org
- https://api.platform.athenahealth.com/12068/brand/1/csg/1/fhir/r4
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Berkeley, CA
- NPI 1932147568
-
- Family Medicine Physician
- Turlock, CA
- NPI 1023065133
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611705600000",
"number": "1306880679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40910 FREMONT BLVD",
"city": "FREMONT",
"state": "CA",
"postal_code": "945384375",
"telephone_number": "510-770-8040",
"fax_number": "510-770-8141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40910 FREMONT BLVD",
"city": "FREMONT",
"state": "CA",
"postal_code": "945384375",
"telephone_number": "510-770-8040",
"fax_number": "510-770-8141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KONDA",
"first_name": "SATYASREE",
"middle_name": "S.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-16",
"last_updated": "2021-01-27",
"certification_date": "2021-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MN",
"license": "41655",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "C52175",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fremont, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.