Individual provider Active NPI

Prasad Konda, M.D.

  • Specialist
  • Loxahatchee, FL
National Provider Identifier
1598730079
Registry record updated Jun 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
43981 Issued in FL
Practice address
13005 Southern Blvd
Suite 145
Loxahatchee, FL 33470-9206
Phone
(561) 798-5500
Fax
(561) 795-3341
NPI assigned
Feb 20, 2006
Last updated
Jun 27, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 43981 FL Primary

Addresses

Primary practice location

13005 Southern Blvd
Suite 145
Loxahatchee, FL 33470-9206

Mailing address

13005 Southern Blvd
Suite 145
Loxahatchee, FL 33470-9206
Phone (561) 798-5500

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
I20101202000482 FL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4789870759 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

13005 Southern Blvd
Loxahatchee, FL 33470-9231
Phone (561) 798-5500

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
43981FLMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
P Konda MD PA Specialist CurrentSince Nov 30, 1998 Accepting new patients
Independent Ekg Consultant's, Inc. CurrentSince May 19, 2019 Accepting new patients

Locations

5301 S Congress Ave
Lantana, FL 33462
Phone (561) 548-3549

13005 Southern Blvd
Ste 145
Loxahatchee, FL 33470
Phone (561) 798-5500

1155 S Congress Ave
Ste C
West Palm Beach, FL 33406
Phone 5617661300601

13001 State Road 80
Westlake, FL 33470
Phone (561) 784-3127

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1140393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309132800000",
    "number": "1598730079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13005 SOUTHERN BLVD",
            "address_2": "SUITE 145",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "334709206",
            "telephone_number": "561-798-5500",
            "fax_number": "561-795-3341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13005 SOUTHERN BLVD",
            "address_2": "SUITE 145",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "334709206",
            "telephone_number": "561-798-5500",
            "fax_number": "561-795-3341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONDA",
        "first_name": "PRASAD",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-20",
        "last_updated": "2011-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "43981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loxahatchee, FL

Sources for this page

Verify at the official NPI Registry.