KIMBERLY A. GILANI ANP-C
NPI 1699257071
Nurse Practitioner - Adult Health in Smithtown, NY

Active since September 03, 2018PECOS EnrolledAccepts Medicare Assignment
81.08/100
CMS Quality Rating
222 MIDDLE COUNTRY RD, SUITE 114, SMITHTOWN, NY 11787(631) 470-8940 Get Directions Write a Review

NPPES record last updated: February 8, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 8, 2024, May 15, 2023, May 2, 2019 and 1 more (4 updates tracked since 2018).

About Kimberly A. Gilani Anp-c NPPES

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

KIMBERLY A. GILANI ANP-C (NPI 1699257071) is an individual adult health provider in Smithtown, New York, licensed in New York (308814) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS, is affiliated with North Shore University Hospital, and is a graduate of State University Of New York At Stony Brook, School Of Medicine (2018).

NPPES Registry Identity

NPI1699257071
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameKIMBERLY A. GILANICredential: ANP-C
Location Address222 MIDDLE COUNTRY RD, SUITE 114Smithtown, NY 11787
Mailing Address6 BrandonCommack, NY 11725-1943
Sole ProprietorNo
Medical School CMSState University Of New York At Stony Brook, School Of MedicineGraduated 2018
Enumeration DateSeptember 3, 2018
Last NPPES UpdateFebruary 8, 20244 updates tracked since enumeration
NPPES CertifiedFebruary 8, 2024
NPI 1699257071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in NY · 308814
222 MIDDLE COUNTRY RD, Smithtown, NY 11787

Other Identifiers 1

Other308814NY · New York State

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

Kimberly A. Gilani Anp-c 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 ID2567868268
PECOS Enrollment IDI20210903001455
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 4

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.
25 services16 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
20 services20 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
11 services11 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

North Shore University Hospital

Acute Care Hospitals · Manhasset, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330106
Location300 Community DriveManhasset, NY 11030 · Nassau County
Emergency services Birthing friendly

Suny/Stony Brook University Hospital

Acute Care Hospitals · Stony Brook, NY
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number330393
LocationHealth Sciences Center SunyStony Brook, NY 11794 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11787 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
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
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.

81.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.01
Promoting Interoperability100
Improvement Activities40
Cost50.92

Other Providers at the Same Location NPPES 15

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

Social Worker (Clinical)
222 MIDDLE COUNTRY RD, STE 210
SMITHTOWN, NY 11787
Psychiatry & Neurology (Psychiatry)
222 MIDDLE COUNTRY RD, SUITE 210
SMITHTOWN, NY 11787
Dentist
222 MIDDLE COUNTRY RD, SUITE 316
SMITHTOWN, NY 11787
Physician Assistant (Medical)
222 MIDDLE COUNTRY RD, SUITE 228
SMITHTOWN, NY 11787
Physical Therapist
222 MIDDLE COUNTRY RD, SUITE 105
SMITHTOWN, NY 11787
Family Medicine
222 MIDDLE COUNTRY RD, SUITE 103
SMITHTOWN, NY 11787
Psychiatry & Neurology (Psychiatry)
222 MIDDLE COUNTRY RD, SUITE 210
SMITHTOWN, NY 11787
Physical Therapist
222 MIDDLE COUNTRY RD, SUITE 105
SMITHTOWN, NY 11787

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 Gilani's NPI number?

The NPI number for Kimberly Gilani is 1699257071. It was assigned to this individual provider in the NPPES registry on September 3, 2018.

Where is Kimberly Gilani located?

Kimberly Gilani practices at 222 Middle Country Rd Suite 114, Smithtown, NY 11787. The listed phone number is (631) 470-8940.

What is Kimberly Gilani's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Kimberly Gilani enrolled in Medicare?

Yes. Kimberly Gilani 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.

Is Kimberly Gilani affiliated with any hospitals?

According to CMS data, Kimberly Gilani is affiliated with North Shore University Hospital and Suny/Stony Brook University Hospital.

When was this NPI record last updated?

The NPPES record for Kimberly Gilani was last updated on February 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.