DR. KIMBERLY E GROS (M.D.) – Diagnostic Radiology Physician, NPI 1699747865

DR. KIMBERLY E GROS (M.D.) is a healthcare provider. based in Orlando, Florida. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. ME73066 (FL). The NPI Number for DR. KIMBERLY E GROS (M.D.) is 1699747865

Main info

Female
Sole Proprietor
36 Years Of Experience
Accepts Medicare Assignment
Name
DR. KIMBERLY E GROS (M.D.)
NPI
1699747865
Phone
(407) 581-4143
Address
1621 N MILLS AVE
Enumeration Date
2 February 2006
Last Update Date
15 February 2019

Doctor Profile

Medical School Name
UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Secondary Phone
4078410822
Graduation Year
1990 (36 years ago)
PAC ID
5597776401
Group Practice PAC ID
5799978524
Professional Enrollment ID
I20060508000070
Address ID
FL328031849OR1621XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,168 DIAGNOSTIC RADIOLOGY in FL

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Provider Addresses for DR. KIMBERLY E GROS (M.D.)

  • 1621, North Mills Avenue, Rowena Gardens, Orlando, Orange County, Florida, 32803, United States

    ORLANDO, FL 328031849

    Phone: (407) 581-4143

    Fax: (407) 581-4153

    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: 2006-05-08

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
I20060508000070IDiagnostic RadiologyFLTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
A9585Injection, gadobutrol, 0.1 ml6,15583$0
76641Complete ultrasound scan of 1 breast649623$0
77063Screening 3d breast mammography563563$0
77067Screening mammography562562$0
G0279Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)527450$0
View full utilization report →

Insurance plans in this area (ZIP 32803)

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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: 5799978524View full group profile
NameSpecialtyState
Diagnostic RadiologyFL
Diagnostic Radiology, Nuclear MedicineFL
Diagnostic RadiologyFL

Reviews

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Frequently asked questions

Is there an official ID for DR. KIMBERLY E GROS (M.D.) in U.S. healthcare records?
The official identifier for DR. KIMBERLY E GROS (M.D.) is NPI 1699747865.
Is DR. KIMBERLY E GROS (M.D.) shown as active in public data?
Registry records indicate DR. KIMBERLY E GROS (M.D.) maintains an active NPI.
What expertise is attributed to DR. KIMBERLY E GROS (M.D.)?
DR. KIMBERLY E GROS (M.D.)'s specialty line reads Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
Where in Florida is DR. KIMBERLY E GROS (M.D.) registered?
Use Orlando, Florida as the headline location for DR. KIMBERLY E GROS (M.D.) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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