DR. SUBBAREDDY KONDA (MD) – Surgery Physician, NPI 1770519084

DR. SUBBAREDDY KONDA (MD) is a healthcare provider. based in Dallas, Texas. specializing in THORACIC SURGERY, GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. 46230 (MN). The NPI Number for DR. SUBBAREDDY KONDA (MD) is 1770519084

Main info

Male
47 Years Of Experience
Accepts Medicare Assignment
Name
DR. SUBBAREDDY KONDA (MD)
NPI
1770519084
Phone
Not provided
Address
PO BOX 847408
Enumeration Date
26 June 2006
Last Update Date
28 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1979 (47 years ago)
PAC ID
4981673738
Group Practice PAC ID
0345146254
Professional Enrollment ID
I20231006001371
Address ID
FL321142781DA311XXBLVD500

Contacts

Secure Messaging
skonda10614@direct.sw.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience93
Completeness95
Years active:19State licenses:5Other names

406 THORACIC SURGERY in FL

Provider Addresses for DR. SUBBAREDDY KONDA (MD)

  • PO BOX 847408

    DALLAS, TX 752847408

    Phone:

    Type: Mailing

  • 720 W OAK ST STE 360

    KISSIMMEE, FL 347414910

    Phone: (407) 846-0900

    Type: Mailing

  • 311 N Clyde Morris Blvd

    Daytona Beach, FL 321142781

    Phone: (386) 241-1040

    Type: Location

  • Baylor Scott & White Medical Center - Temple, 2401, South 31st Street, Temple, Bell County, Texas, 76508, United States

    TEMPLE, TX 765080001

    Phone: (254) 724-2111

    Type: Location

  • PO BOX 844658

    DALLAS, TX 752844658

    Phone: (254) 724-2111

    Type: Mailing

  • 302 UNIVERSITY BLVD

    ROUND ROCK, TX 786651032

    Phone: (512) 509-0200

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 19 Open Payments records for all available years, with a total value of $878.

Total Amount is formed as General ($878) + Research ($0) + Ownership ($0) = $878.

Last reported payment date: 2024-02-06 • Largest payer in this snapshot: Philips Electronics North America Corporation ($438).

Total Amount

$878

General + Research + Ownership

Payments

19

Total payment records

General Amount

$878

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-06

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-10-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120515000463IThoracic SurgeryTXTBD
I20220525002157IGeneral SurgeryLATBD
I20231006001371IThoracic SurgeryFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes4644$0
99204New patient office or other outpatient visit, 45-59 minutes3028$0
33533Coronary artery bypass using artery graft, 1 graft2828$0
99214Established patient office or other outpatient visit, 30-39 minutes2719$0
33508Harvest of vein using an endoscope2626$0
View full utilization report →

Insurance plans in this area (ZIP 75284)

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Provider's Procedures

DR. SUBBAREDDY KONDA (MD) performs procedures in THORACIC SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
THORACIC SURGERYTX33405Replacement of left lower heart chamber valve using artificial valve on heart-lung machine1414

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0345146254View full group profile

Reviews

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Frequently asked questions

What is the standard ID for DR. SUBBAREDDY KONDA (MD) in the U.S.?
In the U.S., DR. SUBBAREDDY KONDA (MD) is identified by NPI 1770519084.
Does the public listing show DR. SUBBAREDDY KONDA (MD) as active?
DR. SUBBAREDDY KONDA (MD)'s NPI record reflects an active status in NPPES.
What services align with DR. SUBBAREDDY KONDA (MD)'s listing?
DR. SUBBAREDDY KONDA (MD)'s public classification highlights Surgery Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. SUBBAREDDY KONDA (MD)?
DR. SUBBAREDDY KONDA (MD) shows a connection to Dallas, Texas in registry-derived data.
Why is information missing for DR. SUBBAREDDY KONDA (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.