KIROLLOS GENDI MD, MPH
NPI 1528591815
Orthopaedic Surgery in Bay Harbor Islands, FL

Active since April 04, 2017PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
1085 KANE CONCOURSE, BAY HARBOR ISLANDS, FL 33154(305) 674-2090(305) 674-2093 Get Directions Write a Review

NPPES record last updated: September 1, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kirollos Gendi Md, Mph NPPES

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

KIROLLOS GENDI MD, MPH (NPI 1528591815) is an individual orthopaedic surgery provider in Bay Harbor Islands, Florida, licensed in Florida (ME155447) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Mount Sinai Medical Center Of Florida, Inc, and maintains a secondary practice location in Madison.

NPPES Registry Identity

NPI1528591815
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameKIROLLOS GENDICredential: MD, MPH
Location Address1085 KANE CONCOURSEBay Harbor Islands, FL 33154-2105
Mailing Address1085 Kane ConcourseBay Harbor Islands, FL 33154-2105 · (305) 674-2090 · Fax (305) 674-2093
Fax(305) 674-2093
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 2017
Enumeration DateApril 4, 2017
Last NPPES UpdateSeptember 1, 2022
NPPES CertifiedSeptember 1, 2022
NPI 1528591815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in FL · ME155447
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
1085 KANE CONCOURSE, Bay Harbor Islands, FL 33154

Secondary Practice Location 1

Location 16210 Mineral Point Rd Apt 8Madison, WI 53705-4565 · Phone (916) 220-0362

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kirollos Gendi Md, Mph is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9436428299
PECOS Enrollment IDI20220922001979
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.

Areas of Expertise CMS Part B claims 14

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
130 services88 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
88 services11 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
51 services51 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
48 services47 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
40 services33 patients
X-ray of hip, 2-3 views 73502
An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
40 services28 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mount Sinai Medical Center Of Florida, Inc

Acute Care Hospitals · Miami Beach, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100034
Location4300 Alton RdMiami Beach, FL 33140 · Miami-Dade County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33154 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
$96.13 typical visit price
range $60.92 – $187.05
Typical copayment $24.03 (range $15.23 – $46.76)
Most-billed visit code 99203
Established Patient
$75.86 typical visit price
range $18.99 – $150.24
Typical copayment $18.96 (range $4.74 – $37.56)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 5

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

Physical Therapist
1085 KANE CONCOURSE
BAY HARBOR ISLANDS, FL 33154
Orthopaedic Surgery
1085 KANE CONCOURSE
BAY HARBOR ISLANDS, FL 33154
Podiatrist (Foot & Ankle Surgery)
1085 KANE CONCOURSE
BAY HARBOR ISLANDS, FL 33154
Orthopaedic Surgery (Sports Medicine)
1085 KANE CONCOURSE
BAY HARBOR ISLANDS, FL 33154
Rehabilitation Unit
1085 KANE CONCOURSE
BAY HARBOR ISLANDS, FL 33154

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 Kirollos Gendi's NPI number?

The NPI number for Kirollos Gendi is 1528591815. It was assigned to this individual provider in the NPPES registry on April 4, 2017.

Where is Kirollos Gendi located?

Kirollos Gendi practices at 1085 Kane Concourse, Bay Harbor Islands, FL 33154. The listed phone number is (305) 674-2090.

What is Kirollos Gendi's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Kirollos Gendi enrolled in Medicare?

Yes. Kirollos Gendi is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kirollos Gendi accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Florida Blue (BlueCross BlueShield FL) and 1 other insurer list Kirollos Gendi as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kirollos Gendi affiliated with any hospitals?

According to CMS data, Kirollos Gendi is affiliated with Mount Sinai Medical Center Of Florida, Inc.

When was this NPI record last updated?

The NPPES record for Kirollos Gendi was last updated on September 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.