DR. KIMBERLY K MONROE (M.D.) – Pediatrics Physician, NPI 1124012984

DR. KIMBERLY K MONROE (M.D.) is a healthcare provider. based in Ann arbor, Michigan. specializing in Pediatrics Physician. They hold the professional credentials M.D.. They hold a License No. 036-108058 (IL). The NPI Number for DR. KIMBERLY K MONROE (M.D.) is 1124012984

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
DR. KIMBERLY K MONROE (M.D.)
NPI
1124012984
Phone
(734) 936-2047
Address
3621 S STATE ST
Enumeration Date
8 September 2005
Last Update Date
8 June 2015

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
2000 (26 years ago)
PAC ID
3678762291
Group Practice PAC ID
3779496856
Professional Enrollment ID
I20110113000565
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

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Provider Addresses for DR. KIMBERLY K MONROE (M.D.)

  • KMS Building, 3621, South State Street, Ann Arbor, Washtenaw County, Michigan, 48108, United States

    700 KMS PLACE

    ANN ARBOR, MI 48108

    Phone: (734) 936-2047

    Type: Mailing

  • Mott Children's Hospital and Von Voigtlander Women's Hospital, 1500, East Medical Center Drive, Ann Arbor, Washtenaw County, Michigan, 48109, United States

    12TH FLOOR CS MOTT CHILDRENS HOSPITAL ROOM 525

    ANN ARBOR, MI 481094280

    Phone: (734) 763-5302

    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: 2011-01-13

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
I20110113000565IPediatric MedicineMITBD

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 48108)

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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: 3779496856View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YFL
Physical Medicine And RehabilitationMI
A N E S T H E S I O L O G YMI
Internal Medicine, Pediatric MedicineIL
-MI
Physician AssistantMI

Reviews

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Frequently asked questions

Does DR. KIMBERLY K MONROE (M.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. KIMBERLY K MONROE (M.D.) uses 1124012984.
Is DR. KIMBERLY K MONROE (M.D.) listed as active for patients and plans?
The listing shows DR. KIMBERLY K MONROE (M.D.) as active in the NPI system.
What is DR. KIMBERLY K MONROE (M.D.)'s specialty?
The listing groups DR. KIMBERLY K MONROE (M.D.) with Pediatrics Physician. Clinical services aligned with this taxonomy classification.
What area does DR. KIMBERLY K MONROE (M.D.) serve?
DR. KIMBERLY K MONROE (M.D.)'s listing highlights Ann Arbor, Michigan; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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