Puja Kathrotiya Konda, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

ME124603 Issued in FL

Practice address

1740 SE 18TH St Ste 1102
Ocala, FL 34471-5447

Phone

(352) 512-0092

Fax

(352) 512-0093

NPI assigned

Nov 7, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Dermatology

Education

Indiana University School of Medicine, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Midstate Skin Institute LLCGroup PAC ID 3870746605, 18 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

91.64 of 100Reported as group

Quality

83.28

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: pkathrotiya@directaddress.net

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.

• Midstate Skin Institute, LLC

  • Dermatology Physician
  • Ocala, FL
  • NPI 1912258989
  Medicare reassignment Care Compare group NPD
• Florida Medical Specialists LLC

  dba MAXhealth Sarasota

  • Internal Medicine Physician
  • Sarasota, FL
  • NPI 1164795563
  NPD (past)

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

{
    "created_epoch": "1352246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767139200000",
    "number": "1770837189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1740 SE 18TH ST STE 1102",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344715447",
            "telephone_number": "352-512-0092",
            "fax_number": "352-512-0093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 SE 18TH ST STE 1102",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344715447",
            "telephone_number": "352-512-0092",
            "fax_number": "352-512-0093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONDA",
        "first_name": "PUJA",
        "middle_name": "KATHROTIYA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-07",
        "last_updated": "2025-12-31",
        "certification_date": "2025-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME124603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Murali K Kolla, MPHARM
• Vidya Sagar Kollu, MD
• Frank Kolovrat Jr.
• Karthikram Komanduri, MD
• Donna Koncinsky, MS
• Sai Saneet Konda
• Jayanth Koneru, M.D.
• Jessica Lynn Konkol, CPC-I
• Mary L Koontz, LMT
• Anthony Kopczyk, D.M.D.

• Dermatology Physician in Ocala, FL
• Providers in Ocala, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.