KIMBERLY MUNIZ RODRIGUEZ MD
NPI 1821762642
General Practice in Kissimmee, FL

Active since August 04, 2021PECOS Enrolled
1530 CELEBRATION BLVD STE 407, KISSIMMEE, FL 34747(321) 939-4137 Get Directions Write a Review

NPPES record last updated: October 12, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 12, 2021, Sep 28, 2021, Aug 23, 2021 and 1 more (4 updates tracked since 2021).

About Kimberly Muniz Rodriguez Md NPPES

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

KIMBERLY MUNIZ RODRIGUEZ MD (NPI 1821762642) is an individual general practice provider in Kissimmee, Florida, licensed in Puerto Rico (22511) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Davenport, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1821762642
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameKIMBERLY MUNIZ RODRIGUEZCredential: MD
Location Address1530 CELEBRATION BLVD STE 407Kissimmee, FL 34747-5165
Mailing AddressPo Box 640Moca, PR 00676-0640 · (407) 879-5297
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateAugust 4, 2021
Last NPPES UpdateOctober 12, 20214 updates tracked since enumeration
NPPES CertifiedOctober 12, 2021
✔ NPI 1821762642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Licenses✔ Licensed in PR · 22511✔ Licensed in FL · ACN1375
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
1530 CELEBRATION BLVD STE 407, Kissimmee, FL 34747

Secondary Practice Location 1

Location 12209 North Blvd WDavenport, FL 33837-8903 · Phone (407) 879-5297

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberly Muniz Rodriguez Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2668879594
PECOS Enrollment IDI20230302001554
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 Reassignments

4

Medicare enrollment records show Kimberly Muniz Rodriguez reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
405 S 11TH ST
Lake Wales, FL 33853
  • Reassigned Medicare billing, Florida enrollment
  • 186 clinicians in this Medicare group
Internal Medicine
1100 S FORT HARRISON AVE
Clearwater, FL 33756
  • Reassigned Medicare billing, Florida enrollment
  • 109 clinicians in this Medicare group
Diagnostic Radiology
3 JOSE MENDEZ CARDONA AVE
San Sebastian, PR 00685
  • Reassigned Medicare billing, Puerto Rico enrollment
  • 20 clinicians in this Medicare group
Primary Care
CARR 111 KM 15.7 BARRIO HATO ARRIBA
San Sebastian, PR 00685
  • Reassigned Medicare billing, Puerto Rico enrollment

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

Other Providers at the Same Location NPPES 3

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

Family Medicine
1530 CELEBRATION BLVD STE 407
CELEBRATION, FL 34747
Family Medicine
1530 CELEBRATION BLVD STE 407
CELEBRATION, FL 34747
Internal Medicine
1530 CELEBRATION BLVD STE 407
CELEBRATION, FL 34747

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 Muniz Rodriguez's NPI number?

The NPI number for Kimberly Muniz Rodriguez is 1821762642. It was assigned to this individual provider in the NPPES registry on August 4, 2021.

Where is Kimberly Muniz Rodriguez located?

Kimberly Muniz Rodriguez practices at 1530 Celebration Blvd Ste 407, Kissimmee, FL 34747. The listed phone number is (321) 939-4137.

What is Kimberly Muniz Rodriguez's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Kimberly Muniz Rodriguez enrolled in Medicare?

Yes. Kimberly Muniz Rodriguez is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kimberly Muniz Rodriguez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Muniz Rodriguez reassigns Medicare benefits to 4 organizations: Florida Medical Specialists, LLC (Lake Wales, FL), Best Value Healthcare LLC (Clearwater, FL), Centro De Diagnostico Y Tratamiento De San Sebastian Inc (San Sebastian, PR) and Kmr Health (San Sebastian, PR). 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 Muniz Rodriguez'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 Muniz Rodriguez was last updated on October 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.