OrganizationActive
Doctor K Derm LLC
NPI 1841049541 · Dermatology Physician · Melbourne, FL
Provider details
- NPI number
- 1841049541
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kautilya Shaurya, President(321) 271-6522
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2100 N Wickham Rd
Melbourne, FL 32935-8110
Phone: (321) 752-7100
Fax: (321) 752-7105
Street-level locationGet directions
Mailing address
2100 N Wickham Rd
Melbourne, FL 32935-8110
Registry dates
- Enumerated
- 2024-05-15
- Last updated
- 2025-06-20
- Certified
- 2025-06-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.