DR. KIMBERLY FENTON (M.D.) – Pediatric Critical Care Medicine Physician, NPI 1982648838

DR. KIMBERLY FENTON (M.D.) is a healthcare provider. based in Winter park, Florida. specializing in CRITICAL CARE (INTENSIVISTS). They hold the professional credentials M.D.. They hold a License No. 211725 (NY). The NPI Number for DR. KIMBERLY FENTON (M.D.) is 1982648838

Main info

Female
30 Years Of Experience
Accepts Medicare Assignment
Name
DR. KIMBERLY FENTON (M.D.)
NPI
1982648838
Phone
(407) 975-0410
Address
1801 LEE RD STE 165
Enumeration Date
15 June 2006
Last Update Date
22 September 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4073035600
Graduation Year
1996 (30 years ago)
PAC ID
0648314005
Group Practice PAC ID
0749186153
Professional Enrollment ID
I20161028001785
Address ID
FL328031248OR601XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

1,454 CRITICAL CARE (INTENSIVISTS) in FL

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Provider Addresses for DR. KIMBERLY FENTON (M.D.)

  • Lee Road, Winter Park, Orange County, Florida, 32789, United States

    WINTER PARK, FL 327892127

    Phone: (407) 975-0410

    Fax: (407) 975-0411

    Type: Mailing

  • Florida Hospital Orlando Emergency Room, 601, Rollins Street, Orlando, Orange County, Florida, 32803, United States

    FLORIDA HOSPITAL PEDIATRIC INTENSIVISTS

    ORLANDO, FL 328031248

    Phone: (407) 975-0410

    Fax: (407) 975-0411

    Type: Location

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: 2016-10-28

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
I20161028001785ICritical Care (Intensivists)FLTBD

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 32789)

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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: 0749186153View full group profile
NameSpecialtyState
H E M A T O L O G YPA
Nurse PractitionerFL
Physician AssistantPA
Physician AssistantFL
-FL
N E U R O S U R G E R YFL
G A S T R O E N T E R O L O G YFL
-FL
-FL
Cardiovascular Disease (Cardiology)VA

Reviews

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Frequently asked questions

Does DR. KIMBERLY FENTON (M.D.) have a public NPI I can cite?
Public records show DR. KIMBERLY FENTON (M.D.) under NPI 1982648838.
Is DR. KIMBERLY FENTON (M.D.)'s NPI status active today?
Active status means DR. KIMBERLY FENTON (M.D.)'s NPI record is not deactivated in the public file.
What type of care does DR. KIMBERLY FENTON (M.D.) provide?
DR. KIMBERLY FENTON (M.D.)'s profile centers on Pediatric Critical Care Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DR. KIMBERLY FENTON (M.D.) tied to Winter Park, Florida?
If you are local to Winter Park, Florida, DR. KIMBERLY FENTON (M.D.) may be relevant to your search.
Can I export DR. KIMBERLY FENTON (M.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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