KENZO HIROSE (M.D.) – Surgery Physician, NPI 1003923772
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
827 GENERAL SURGERY in MD
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Provider Addresses for KENZO HIROSE (M.D.)
600, North Wolfe Street, Washington Hill, Baltimore, Maryland, 21205, United States
BALTIMORE, MD 212870005
Phone: (410) 955-6190
Type: Location
PO BOX 64563
BALTIMORE, MD 212874563
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $398.
Total Amount is formed as General ($398) + Research ($0) + Ownership ($0) = $398.
Last reported payment date: 2024-06-25 • Largest payer in this snapshot: Dilon Technologies, Inc. ($172).
Total Amount
$398
General + Research + Ownership
Payments
4
Total payment records
General Amount
$398
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Dilon Technologies, Inc. | $172 |
| Ethicon US, LLC | $133 |
| Medtronic, Inc. | $93 |
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: 2004-09-08
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040908000754 | I | General Surgery | CA | 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 21287)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | CA | |
| Nurse Practitioner | CA | |
| Vascular Surgery | CA | |
| Nurse Practitioner | CA | |
| General Surgery | CA | |
| P O D I A T R Y | CA | |
| Plastic And Reconstructive Surgery | PA | |
| Colorectal Surgery (Proctology), General Surgery | CA | |
| Nurse Practitioner | CA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | CA |
Reviews
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