DR. KIMBERLY L. GANDY (MD) – Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician, NPI 1629041496

DR. KIMBERLY L. GANDY (MD) is a healthcare provider. based in Kansas city, Missouri. specializing in GENERAL SURGERY, THORACIC SURGERY. They hold the professional credentials MD. They hold a License No. 34534 (AZ). The NPI Number for DR. KIMBERLY L. GANDY (MD) is 1629041496

Main info

Female
36 Years Of Experience
Accepts Medicare Assignment
Name
DR. KIMBERLY L. GANDY (MD)
NPI
1629041496
Phone
(816) 983-6797
Address
2401 GILLHAM RD
Enumeration Date
10 February 2006
Last Update Date
20 June 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8589673070
Graduation Year
1990 (36 years ago)
PAC ID
8628974425
Group Practice PAC ID
3274914502
Professional Enrollment ID
I20251022001958
Address ID
CA953503911MO1310XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness75
Years active:20State licenses:3Digital endpointsOther names

785 GENERAL SURGERY in MO

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Provider Addresses for DR. KIMBERLY L. GANDY (MD)

  • Children's Mercy Hospital, 2401, Gillham Road, Kansas City, Jackson County, Missouri, 64108, United States

    KANSAS CITY, MO 641084619

    Phone: (816) 983-6797

    Fax: (816) 802-1245

    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: 2025-10-22

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20251022001958IGeneral SurgeryCATBD

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 64108)

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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: 3274914502View full group profile
NameSpecialtyState
Cardiac Electrophysiology, Internal Medicine, Cardiovascular Disease (Cardiology)CA
Plastic And Reconstructive SurgeryCA
P S Y C H I A T R YCA
Internal MedicineCA
General SurgeryCA
Plastic And Reconstructive SurgeryHI
Family Practice, Peripheral Vascular DiseaseMD
General SurgeryCA
Family Practice, Peripheral Vascular DiseaseTX
General PracticeAL

Reviews

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Frequently asked questions

How do I look up DR. KIMBERLY L. GANDY (MD) by NPI?
Use NPI 1629041496 when you need to reference DR. KIMBERLY L. GANDY (MD) in forms, claims, or directories.
Does this profile mean DR. KIMBERLY L. GANDY (MD) is currently active?
Yes — DR. KIMBERLY L. GANDY (MD) appears active in the national provider directory.
Does DR. KIMBERLY L. GANDY (MD) list a primary specialty?
If you are matching referrals, note Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician for DR. KIMBERLY L. GANDY (MD). Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. KIMBERLY L. GANDY (MD)?
The page summarizes Kansas City, Missouri for DR. KIMBERLY L. GANDY (MD); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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