MKMD Physiatry Consultants LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

MKMD PHYSIATRY CONSULTANTS LLC

Practice address

101 E Florida Ave
Melbourne, FL 32901-8301

Phone

(248) 631-7496

NPI assigned

Mar 4, 2015

Organization subpart

No

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

Authorized official

Name

Mahathy KatukuriNPI 1316171036

Title

Owner

Phone

(248) 631-7496

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mahathy Katukuri, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Melbourne, FL
  • NPI 1316171036
  Medicare reassignment Care Compare group Authorized official
• Priya Konda, FNP-C

  • Nurse Practitioner
  • Cocoa, FL
  • NPI 1689379877
  Medicare reassignment Care Compare group NPD
• Djenane Exceus, NP

  • Adult Health Nurse Practitioner
  • Melbourne, FL
  • NPI 1851836753
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1425427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747008000000",
    "number": "1477945186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6414 MODERN DURAN DR",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329402832",
            "telephone_number": "248-631-7496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E FLORIDA AVE",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329018301",
            "telephone_number": "248-631-7496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MKMD PHYSIATRY CONSULTANTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-04",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A",
        "authorized_official_last_name": "KATUKURI",
        "authorized_official_first_name": "MAHATHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-631-7496"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mitchell R Greenberg, DC, Inc
• Chakiah Tucker Mitchell
• Sudeshna Mitra, MD
• Priscilla Lynn Mixon
• MK ABA, LLC
• Mobile Physicians Group Inc
• Mobile Ultrasound Imaging, LLC
• Mobility Scooter Center Inc
• Ronda Lee Mobley, APRN- FNP-C
• Catherine Gabrielle Moceri

• Physical Medicine & Rehabilitation Physician in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Physical Medicine & Rehabilitation Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.