Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Amulya Ponna

Individual provider Physician Assistant · NPI 1831068683

Amulya Ponna is a Physician Assistant in Philadelphia, Pennsylvania. Qualified in 2025, 1 year ago. Practices with Dermatology Specialists of Delaware LLC, a 7-clinician group and accepts Medicare assignment.

Years since qualifying
1
In the registry since
2025
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Practice location Address checks out

6062 Ridge Ave
Philadelphia, PA 19128-1647
Phone: (212) 385-3700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1831068683
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorNo
NPI enumeratedOctober 31, 2025
Last updated in NPPESJanuary 16, 2026
Certification dateJanuary 16, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Dermatology Specialists Of Delaware Llc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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