DR. KELLIE MARLYN MUNIZ (M.D.) – General Practice Physician, NPI 1245256403
General Practice Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,722 FAMILY PRACTICE in FL
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Provider Addresses for DR. KELLIE MARLYN MUNIZ (M.D.)
103, Oak Street, Kissimmee, Osceola County, Florida, 34744, United States
KISSIMMEE, FL 347414973
Phone: (407) 931-0444
Fax: (407) 962-4446
Type: Mailing
1235 PROVIDENCE BLVD STE G
DELTONA, FL 327257363
Phone: (386) 473-1940
Fax: (386) 473-1961
Type: Location
601 S HARBOUR ISLAND BLVD STE 200
TAMPA, FL 336025925
Phone: (800) 480-5243
Fax: (800) 928-7449
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $69.
Total Amount is formed as General ($69) + Research ($0) + Ownership ($0) = $69.
Last reported payment date: 2024-07-01 • Largest payer in this snapshot: Exact Sciences Corporation ($32).
Total Amount
$69
General + Research + Ownership
Payments
3
Total payment records
General Amount
$69
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-01
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Exact Sciences Corporation | $32 |
| Astellas Pharma US Inc | $22 |
| AstraZeneca Pharmaceuticals LP | $16 |
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: 2020-10-22
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20201022000701 | I | Family Practice | FL | 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 34741)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | FL | |
| Family Practice | FL | |
| Nurse Practitioner | FL | |
| General Practice | FL | |
| General Practice | FL | |
| Physician Assistant | FL | |
| General Practice | FL | |
| General Practice, Family Practice | FL | |
| Family Practice | FL | |
| - | FL |
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