DR. KENNETH ADAM KILGORE (MD) – Student in an Organized Health Care Education/Training Program, NPI 1033855499

DR. KENNETH ADAM KILGORE (MD) is a healthcare provider. based in South miami, Florida. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. The NPI Number for DR. KENNETH ADAM KILGORE (MD) is 1033855499

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
DR. KENNETH ADAM KILGORE (MD)
NPI
1033855499
Phone
(305) 284-7716
Address
7031 SW 62ND AVE
Enumeration Date
9 May 2022
Last Update Date
9 May 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2019 (7 years ago)
PAC ID
9638656390
Group Practice PAC ID
0749384048
Professional Enrollment ID
I20260123001446
Address ID
AR726533105MO614XXNORT200
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:4State licenses:0Digital endpointsOther names

12,378 INTERNAL MEDICINE in FL

Provider Addresses for DR. KENNETH ADAM KILGORE (MD)

  • 7031 SW 62ND AVE

    SOUTH MIAMI, FL 331434701

    Phone: (305) 284-7716

    Mailing address matches the actual address.

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: 2026-01-23

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
I20260123001446IInternal MedicineARTBD

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 33143)

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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: 0749384048View full group profile
NameSpecialtyState
Family PracticeAR
Nurse PractitionerAR
Family PracticeAR
-AR
Family PracticeAR
Family PracticeAR
Nurse PractitionerAR

Reviews

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Frequently asked questions

What is DR. KENNETH ADAM KILGORE (MD)'s NPI number?
DR. KENNETH ADAM KILGORE (MD)'s NPI is 1033855499 — the number used across U.S. healthcare to identify this provider.
Would DR. KENNETH ADAM KILGORE (MD) appear as active to a payer?
You can treat DR. KENNETH ADAM KILGORE (MD) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is DR. KENNETH ADAM KILGORE (MD)?
DR. KENNETH ADAM KILGORE (MD) is associated with Student in an Organized Health Care Education/Training Program in the directory — Clinical services aligned with this taxonomy classification.
Is DR. KENNETH ADAM KILGORE (MD) located near South Miami?
DR. KENNETH ADAM KILGORE (MD) currently maps to South Miami, Florida in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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