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DR. SARITA KONKA M.D.
NPI 1790047520
Internal Medicine - Rheumatology in Burlington, MA

Active since June 07, 2012PECOS EnrolledAccepts Medicare Assignment
78.66/100
CMS Quality Rating
41 MALL ROAD, BURLINGTON, MA 01805(781) 744-8551(781) 744-2599 Get Directions Write a Review

NPPES record last updated: August 6, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Sarita Konka M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SARITA KONKA M.D. (NPI 1790047520) is an individual rheumatology provider in Burlington, Massachusetts, licensed in Massachusetts (273626) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1790047520
Entity TypeIndividualFemale
Primary Taxonomy207RR0500X
Provider Legal NameDR. SARITA KONKACredential: M.D.
Location Address41 MALL ROADBurlington, MA 01805
Mailing Address41 Mall RoadBurlington, MA 01805-0001 · (781) 744-8551 · Fax (781) 744-2599
Phone(781) 744-8551
Fax(781) 744-2599
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJune 7, 2012
Last NPPES UpdateAugust 6, 2018
✔ NPI 1790047520 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in MA · 273626
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
41 MALL ROAD, Burlington, MA 01805
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Sarita Konka M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4183916794
PECOS Enrollment IDI20180627002280
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
422 services179 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
315 services150 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
155 services152 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
38 services18 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
33 services33 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
22 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01805 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

78.66/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.99
Promoting Interoperability35.71
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier12 claims12 services$768.64 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TEMITOPE PATRICIA AWOSOGBA M.D.
Obstetrics & Gynecology
41 MALL ROAD
BURLINGTON, MA 01805
Middlesex County (781) 744-8560
ERIC SCOTT KERNS MD
Internal Medicine (Nephrology)
41 MALL ROAD, LAHEY HOSPITAL & MEDICAL CENTER
BURLINGTON, MA 01805
Middlesex County (781) 744-8430
DR. JONATHAN RASSI M.D.
Radiology (Diagnostic Radiology)
41 MALL ROAD, LAHEY HOSPITAL & MEDICAL CENTER
BURLINGTON, MA 01805
Middlesex County (781) 744-8170
MS. ANNE MARCIA WOODBURY MSN, CRNA
Nurse Anesthetist, Certified Registered
41 MALL ROAD
BURLINGTON, MA 01805
Middlesex County (817) 744-8132
DR. CARMI SANTOS PUNZALAN M.D.
Internal Medicine (Gastroenterology)
41 MALL ROAD, LAHEY HOSPITAL & MEDICAL CENTER
BURLINGTON, MA 01805
Middlesex County (781) 744-8000
RUTH ELIZABETH MEDINA GUTIERREZ MD
Hospitalist
41 MALL ROAD, LAHEY HOSPITAL AND MEDICAL CENTER
BURLINGTON, MA 01805
Middlesex County (781) 744-3839
BRITTNEY CHRISTINA LOCKE PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
41 MALL ROAD, LAHEY HOSPITAL AND MEDICAL CENTER
BURLINGTON, MA 01805
Middlesex County (781) 744-8610
LINDA ROSE CARUSO
Nurse Practitioner (Family)
41 MALL ROAD, LAHEY HOSPITAL AND MEDICAL CENTER
BURLINGTON, MA 01805
Middlesex County (781) 744-8570

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sarita Konka's NPI number?

The NPI number for Sarita Konka is 1790047520. It was assigned to this individual provider in the NPPES registry on June 7, 2012.

Where is Sarita Konka located?

Sarita Konka practices at 41 Mall Road, Burlington, MA 01805. The listed phone number is (781) 744-8551.

What is Sarita Konka's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Sarita Konka enrolled in Medicare?

Yes. Sarita Konka is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Sarita Konka accept?

Health plans from Anthem Blue Cross and Blue Shield list Sarita Konka as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sarita Konka was last updated on August 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.