Individual provider Active NPI

Karthik Krishnamurthy, D.O.

  • Dermatology Physician
  • Palm Coast, FL
National Provider Identifier
1770726291
Registry record updated Sep 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
OS12510 Issued in FL
Practice address
37 Old Kings Rd N
Palm Coast, FL 32137-8227
Phone
(904) 541-0315
Fax
(904) 541-0316
NPI assigned
Apr 14, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X OS12510 FL Primary
Dermatology Physician 207N00000X 241077 NY
MOHS-Micrographic Surgery Physician 207ND0101X OS12510 FL

Addresses

Primary practice location

37 Old Kings Rd N
Palm Coast, FL 32137-8227

Mailing address

37 Old Kings Rd N
Palm Coast, FL 32137-8227
Phone (386) 677-9044

Other identifiers 1

IdentifierTypeStateIssuer
14Y1XOtherFLBCBS

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
I20141203000786 FL Practitioner - Dermatology 5698828366 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Parks Dermatology Center LLCGroup PAC ID 7315985686, 17 clinicians

Practice addresses (Care Compare)

400 Lakebridge Plaza Dr
Ormond Beach, FL 32174-5157
Phone (386) 677-9044

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.62 of 100Reported as group
Quality
100
Promoting interoperability
95
Improvement activities
40
Cost
72.89

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision132
Removal of tissue1-10
Removal of skin lesions327
Removal of skin cancer882
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy64

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS12510FLMDDermatology Physician
241077NYMDDermatology Physician
TRN20535FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Parks Dermatology Center LLC Dermatology CurrentSince Oct 14, 2019 Accepting new patients

Locations

400 Lakebridge Plaza Dr
Ormond Beach, FL 32174
Phone (386) 677-9044

37 Old Kings Rd N
Palm Coast, FL 32137
Phone (386) 445-1100

Interoperability endpoints

  • Direct secure messaging: karthik@parksdermatology.emadirect.md

Organizations & group practices 1

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 4

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": "1239667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789516800000",
    "number": "1770726291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 OLD KINGS RD N",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321378227",
            "telephone_number": "386-677-9044",
            "fax_number": "386-677-3083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 OLD KINGS RD N",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321378227",
            "telephone_number": "904-541-0315",
            "fax_number": "904-541-0316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRISHNAMURTHY",
        "first_name": "KARTHIK",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-14",
        "last_updated": "2026-09-16",
        "certification_date": "2026-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "OS12510",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "241077",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "FL",
            "license": "OS12510",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "14Y1X",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Coast, FL

Sources for this page

Verify at the official NPI Registry.