DR. GUNDA LEE KIRK (D.O.) – Family Medicine Physician, NPI 1831212844
Family Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. GUNDA LEE KIRK (D.O.)
1604 Lancaster Dr
Grapevine, TX 760513544
Phone: (855) 893-5637
Type: Location
2720 Western Center Blvd Ste 312
Fort Worth, TX 761314302
Phone: (855) 893-5637
Type: Location
750 EUREKA ST STE B
WEATHERFORD, TX 760866521
Phone: (855) 893-5637
Fax: (817) 666-3873
Type: Location
1305 Airport Fwy Ste 405
Bedford, TX 760216607
Phone: (855) 893-5637
Type: Location
1752 Broad Park Cir N Ste 114
Mansfield, TX 760637824
Phone: (855) 893-5637
Type: Location
4004 Medical Pkwy
Greenville, TX 754017854
Phone: (855) 893-5637
Type: Location
1625 N Grand Ave
Gainesville, TX 762402343
Phone: (855) 893-5637
Type: Location
6029 Belt Line Rd Ste 105
Dallas, TX 752547873
Phone: (855) 893-5637
Type: Location
PO BOX 24049
FORT WORTH, TX 761241049
Phone: (817) 534-1206
Fax: (817) 534-1238
Type: Mailing
4700 MEADOWBROOK DR
FORT WORTH, TX 761032744
Phone: (817) 534-1206
Fax: (817) 534-1238
Type: Location
2340 E TRINITY MILLS RD STE 250
CARROLLTON, TX 750061946
Phone: (855) 893-5637
Fax: (817) 666-3873
Type: Mailing
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: 2017-10-12
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 |
|---|---|---|---|---|
| I20171012002111 | I | Family Practice | TX | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 13 | 13 | $0 |
Insurance plans in this area (ZIP 76051)
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