DR. KIMBERLY ANN BRUNO-DE LA MATA M.D.
NPI 1548216419
Internal Medicine in Windermere, FL
About Dr. Kimberly Ann Bruno-de La Mata M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KIMBERLY ANN BRUNO-DE LA MATA M.D. (NPI 1548216419) is an individual internal medicine provider in Windermere, Florida, licensed in Florida (ME101735) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Uf Health Leesburg Hospital, and maintains 3 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 3
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Kimberly Ann Bruno-de La Mata M.d. 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.
Medicare Billing Reassignments
7Medicare enrollment records show Kimberly Bruno-de La Mata reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Winter Haven, FL 33881
- Reassigned Medicare billing, Florida enrollment
- 1,065 clinicians in this Medicare group
Bartow, FL 33830
- Reassigned Medicare billing, Florida enrollment
- 51 clinicians in this Medicare group
Daytona Beach, FL 32114
- Reassigned Medicare billing, Florida enrollment
- 786 clinicians in this Medicare group
Sebring, FL 33870
- Reassigned Medicare billing, Florida enrollment
- 62 clinicians in this Medicare group
Birmingham, AL 35205
- Reassigned Medicare billing, Florida enrollment
- 802 clinicians in this Medicare group
Mannington, WV 26582
- Reassigned Medicare billing, West Virginia enrollment
- 318 clinicians in this Medicare group
Morgantown, WV 26505
- Reassigned Medicare billing, West Virginia enrollment
- 58 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.
Areas of Expertise CMS Part B claims 6
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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Uf Health Leesburg Hospital
Acute Care Hospitals · Leesburg, FLVillages Regional Hospital, The
Acute Care Hospitals · The Villages, FLMon Health Medical Center
Acute Care Hospitals · Morgantown, WVMon Health Marion
Acute Care Hospitals · Whitehall, WVPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 34786 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WINDERMERE, FL 34786
WINDERMERE, FL 34786
WINDERMERE, FL 34786
WINDERMERE, FL 34786
WINDERMERE, FL 34786
WINDERMERE, FL 34786
WINDERMERE, FL 34786
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 Bruno-de La Mata's NPI number?
The NPI number for Kimberly Bruno-de La Mata is 1548216419. It was assigned to this individual provider in the NPPES registry on May 25, 2006.
Where is Kimberly Bruno-de La Mata located?
Kimberly Bruno-de La Mata practices at 13506 Summerport Village Pkwy #341, Windermere, FL 34786. The listed phone number is (865) 363-3330.
What is Kimberly Bruno-de La Mata's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Kimberly Bruno-de La Mata enrolled in Medicare?
Yes. Kimberly Bruno-de La Mata 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.
Which organizations bill Medicare for Kimberly Bruno-de La Mata's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Bruno-de La Mata reassigns Medicare benefits to 7 organizations: Paragon Emergency Services LLC (Winter Haven, FL), Polk Emergency Group LLC (Bartow, FL), Halifax Healthcare Systems Inc (Daytona Beach, FL), Mid-Florida Emergency Physicians, LLC (Sebring, FL), Paragon Contracting Services LLC (Birmingham, AL) and 2 more organizations, listed in the Medicare section above. Each 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 Bruno-de La Mata's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kimberly Bruno-de La Mata accept?
Health plans from Oscar Health and Oscar Insurance Company list Kimberly Bruno-de La Mata 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 Kimberly Bruno-de La Mata affiliated with any hospitals?
According to CMS data, Kimberly Bruno-de La Mata is affiliated with Uf Health Leesburg Hospital, Villages Regional Hospital, The, Mon Health Medical Center and Mon Health Marion.
When was this NPI record last updated?
The NPPES record for Kimberly Bruno-de La Mata was last updated on October 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days 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.
# Dr. Kimberly Ann Bruno-De La Mata, M.D. · NPI 1548216419
Internal Medicine physician in Windermere, Florida. Individual provider, active in the CMS NPPES registry since May 25, 2006.
## Identity
- **NPI:** 1548216419 (Entity type: Individual)
- **Enumerated:** May 25, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** ME101735 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 13506 SUMMERPORT VILLAGE PKWY, #341, Windermere, FL 34786-7366
- **Phone:** (865) 363-3330
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 7 organizations under Medicare reassignment (form CMS-855R): Paragon Emergency Services LLC (NPI 1912101650, Winter Haven, FL); Polk Emergency Group LLC (NPI 1558338574, Bartow, FL); Halifax Healthcare Systems Inc (NPI 1245283530, Daytona Beach, FL); Mid-Florida Emergency Physicians, LLC (NPI 1558630152, Sebring, FL); Paragon Contracting Services LLC (NPI 1225071459, Birmingham, AL); and 2 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** West Virginia University School Of Medicine, class of 1994
## Record status
- **NPPES last updated:** October 21, 2026
- **Other identifiers:** Other P00284603 (TN); Medicaid 3856126 (TN); Other 4103352 (TN)
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Source: [NPI Profile](https://npiprofile.com/npi/1548216419) · Data from the CMS NPPES public registry.