DR. KIMBO BELLO SANDA (MD) – Internal Medicine Physician, NPI 1912587346

DR. KIMBO BELLO SANDA (MD) is a healthcare provider. based in Oklahoma city, Oklahoma. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 43390 (OK). The NPI Number for DR. KIMBO BELLO SANDA (MD) is 1912587346

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
DR. KIMBO BELLO SANDA (MD)
NPI
1912587346
Phone
Not provided
Address
12552 CRICK HOLLOW CT
Enumeration Date
9 April 2021
Last Update Date
27 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5807823353
Graduation Year
2018 (8 years ago)
PAC ID
0547791022
Group Practice PAC ID
6305119942
Professional Enrollment ID
I20241008003455
Address ID
OK735544441MA118XXAVEX501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:5State licenses:1Digital endpointsOther names

18,056 INTERNAL MEDICINE in NY

Provider Addresses for DR. KIMBO BELLO SANDA (MD)

  • 12552 CRICK HOLLOW CT

    OKLAHOMA CITY, OK 731702076

    Phone:

    Type: Mailing

  • 1901 1ST AVE

    NEW YORK, NY 100297494

    Phone:

    Type: Mailing

  • 2510 E INDEPENDENCE ST STE 102

    SHAWNEE, OK 748041839

    Phone: (678) 697-9315

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $257.

Total Amount is formed as General ($257) + Research ($0) + Ownership ($0) = $257.

Last reported payment date: 2024-06-13 • Largest payer in this snapshot: Incyte Corporation ($118).

Total Amount

$257

General + Research + Ownership

Payments

8

Total payment records

General Amount

$257

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-13

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2024-10-08

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
I20241008003455IInternal MedicineOKTBD

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 73170)

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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: 6305119942View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to DR. KIMBO BELLO SANDA (MD)?
NPI 1912587346 is assigned to DR. KIMBO BELLO SANDA (MD) under the national enumeration system.
Is DR. KIMBO BELLO SANDA (MD)'s NPI currently valid?
The extract we use shows DR. KIMBO BELLO SANDA (MD) as active.
Does DR. KIMBO BELLO SANDA (MD) list a primary specialty?
If you are matching referrals, note Internal Medicine Physician for DR. KIMBO BELLO SANDA (MD). Clinical services aligned with this taxonomy classification.
Does DR. KIMBO BELLO SANDA (MD) practice in Oklahoma?
You will see Oklahoma City, Oklahoma on file for DR. KIMBO BELLO SANDA (MD) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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