KIMBERLY DESIREE HART D.D.S
NPI 1366286486
Dentist in Brooklyn, NY

Active since June 24, 2024PECOS Enrolled
150 55TH ST, BROOKLYN, NY 11220(718) 630-7942 Get Directions Write a Review

NPPES record last updated: November 6, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 6, 2025, Jun 24, 2024 (2 updates tracked since 2024).

About Kimberly Desiree Hart D.d.s NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMBERLY DESIREE HART D.D.S (NPI 1366286486) is an individual dentist in Brooklyn, New York, licensed in New York (065000) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1366286486
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameKIMBERLY DESIREE HARTCredential: D.D.S
Location Address150 55TH STBrooklyn, NY 11220-2508
Mailing Address100 Willoughby St Apt 20qBrooklyn, NY 11201-4976 · (651) 497-8447
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateJune 24, 2024
Last NPPES UpdateNovember 6, 20252 updates tracked since enumeration
NPPES CertifiedNovember 6, 2025
✔ NPI 1366286486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in NY · 065000
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
150 55TH ST, Brooklyn, NY 11220

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberly Desiree Hart D.d.s is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5698266716
PECOS Enrollment IDI20251118000014
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kimberly Hart reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Health Service
260 AVENUE X
Brooklyn, NY 11223
  • Reassigned Medicare billing, New York enrollment
  • 164 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11220 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
150 55TH ST
BROOKLYN, NY 11220
Psychiatry & Neurology (Psychiatry)
150 55TH ST
BROOKLYN, NY 11220
Pharmacist (Oncology)
150 55TH ST
BROOKLYN, NY 11220
Nurse Practitioner (Primary Care)
150 55TH ST
BROOKLYN, NY 11220
Physician Assistant
150 55TH ST
BROOKLYN, NY 11220
Student in an Organized Health Care Education/Training Program
150 55TH ST
BROOKLYN, NY 11220
Student in an Organized Health Care Education/Training Program
150 55TH ST
BROOKLYN, NY 11220
Hospitalist
150 55TH ST
BROOKLYN, NY 11220

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Hart's NPI number?

The NPI number for Kimberly Hart is 1366286486. It was assigned to this individual provider in the NPPES registry on June 24, 2024.

Where is Kimberly Hart located?

Kimberly Hart practices at 150 55th St, Brooklyn, NY 11220. The listed phone number is (718) 630-7942.

What is Kimberly Hart's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Kimberly Hart enrolled in Medicare?

Yes. Kimberly Hart is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kimberly Hart's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Hart reassigns Medicare benefits to Century Medical & Dental Center Inc (Brooklyn, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kimberly Hart's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kimberly Hart was last updated on November 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.