KIMBERLY R. ZIMMERMAN – Pediatric Emergency Medicine (Emergency Medicine) Physician, NPI 1780669390
Pediatric Emergency Medicine (Emergency Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
813 PEDIATRIC MEDICINE in CO
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Provider Addresses for KIMBERLY R. ZIMMERMAN
Beet Box, 1030, East 22nd Avenue, Five Points, Denver, Denver County, Colorado, 80205, United States
DENVER, CO 802173862
Phone: (303) 306-7783
Fax: (303) 306-7753
Type: Mailing
Presbyterian / Saint Luke's Medical Center, 1719, East 19th Avenue, City Park West, Denver, Denver County, Colorado, 80218, United States
DENVER, CO 802181235
Phone: (303) 839-6000
Fax: (303) 306-7753
Type: Location
18101 LORAIN AVE
CLEVELAND, OH 441115612
Phone: (216) 476-7326
Fax: (216) 476-7831
Type: Mailing
11234 ANDERSON ST
LOMA LINDA, CA 923501716
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2016-01-29
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20041013001182 | I | Emergency Medicine | CA | TBD |
| I20160129000622 | I | Pediatric Medicine | OH | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 80217)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | NV | |
| Nephrology, Internal Medicine | OH | |
| - | OH | |
| - | MI | |
| Nurse Practitioner | OH | |
| General Surgery, Anesthesiology, Critical Care (Intensivists) | OH | |
| Family Practice | OH | |
| Certified Registered Nurse Anesthetist (Crna) | OH | |
| - | OH | |
| - | MN |
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