DR. ROBERT MONROE JR. KIMMEL (M.D.) – Plastic and Reconstructive Surgery Physician, NPI 1497103436

DR. ROBERT MONROE JR. KIMMEL (M.D.) is a healthcare provider. based in Waterbury, Connecticut. specializing in PLASTIC AND RECONSTRUCTIVE SURGERY. They hold the professional credentials M.D.. They hold a License No. 99347 (GA). The NPI Number for DR. ROBERT MONROE JR. KIMMEL (M.D.) is 1497103436

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
DR. ROBERT MONROE JR. KIMMEL (M.D.)
NPI
1497103436
Phone
(203) 573-7284
Address
160 ROBBINS STREET
Enumeration Date
1 June 2016
Last Update Date
28 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9123558000
Graduation Year
2016 (10 years ago)
PAC ID
1951704550
Group Practice PAC ID
0749194967
Professional Enrollment ID
I20240809001572
Address ID
GA314056014SA5361XSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:10State licenses:1Digital endpointsOther names

106 PLASTIC AND RECONSTRUCTIVE SURGERY in CT

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Provider Addresses for DR. ROBERT MONROE JR. KIMMEL (M.D.)

  • 160, Robbins Street, West Side Hill, Waterbury, New Haven County, Connecticut, 06708, United States

    CHASE OUTPATIENT CENTER

    WATERBURY, CT 06708

    Phone: (203) 573-7284

    Fax: (203) 573-7031

    Type: Location

  • 5361 REYNOLDS ST

    SAVANNAH, GA 314056014

    Phone: (912) 355-8000

    Type: Mailing

  • Church of God New Testament Church, 64, Robbins Street, West Side Hill, Waterbury, New Haven County, Connecticut, 06708, United States

    WATERBURY HOSPITAL

    WATERBURY, CT 06708

    Phone: (203) 573-6162

    Fax: (203) 573-6707

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 27 Open Payments records for all available years, with a total value of $659.

Total Amount is formed as General ($659) + Research ($0) + Ownership ($0) = $659.

Last reported payment date: 2024-12-22 • Largest payer in this snapshot: Aroa Biosurgery Incorporated ($384).

Total Amount

$659

General + Research + Ownership

Payments

27

Total payment records

General Amount

$659

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-22

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: 2024-08-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20240809001572IPlastic And Reconstructive SurgeryGATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 06708)

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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: 0749194967View full group profile
NameSpecialtyState
Nurse PractitionerGA
Plastic And Reconstructive SurgeryGA
Plastic And Reconstructive Surgery, Hand SurgeryGA
Plastic And Reconstructive SurgeryGA
Plastic And Reconstructive SurgeryGA
Plastic And Reconstructive SurgeryGA
Plastic And Reconstructive SurgeryGA
-GA

Reviews

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Frequently asked questions

What number should I use to identify DR. ROBERT MONROE JR. KIMMEL (M.D.) for billing?
Administrative and clinical systems typically use NPI 1497103436 for DR. ROBERT MONROE JR. KIMMEL (M.D.).
Is DR. ROBERT MONROE JR. KIMMEL (M.D.) currently accepting referrals based on NPI status?
Registry metadata lists DR. ROBERT MONROE JR. KIMMEL (M.D.) as active.
What type of care does DR. ROBERT MONROE JR. KIMMEL (M.D.) provide?
DR. ROBERT MONROE JR. KIMMEL (M.D.)'s profile centers on Plastic and Reconstructive Surgery Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. ROBERT MONROE JR. KIMMEL (M.D.)?
DR. ROBERT MONROE JR. KIMMEL (M.D.) shows a connection to Waterbury, Connecticut in registry-derived data.
Can I export DR. ROBERT MONROE JR. KIMMEL (M.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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