NPIMap

Individual provider Active NPI

Kimberly Michelle Beavers, MD

  • Diagnostic Radiology Physician
  • Orlando, FL
National Provider Identifier
1871975474
Registry record updated Jul 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME128578 Issued in FL
Practice address
1400 S Orange Ave
Orlando, FL 32806-2134
Phone
(877) 876-3627
Fax
(321) 841-3794
NPI assigned
Jun 19, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 297339 NY
Diagnostic Radiology Physician 2085R0202X ME128578 FL Primary

Addresses

Primary practice location

1400 S Orange Ave
Orlando, FL 32806-2134

Mailing address

1400 S Orange Ave
Orlando, FL 32806-2134
Phone (877) 876-3627

Other practice location 1

550 1st Ave Fl 2
New York, NY 10016-6402
Phone (646) 501-3224

Other practice location 2

601 E Rollins St
Orlando, FL 32803-1248
Phone (407) 303-6973

Other practice location 3

1223 Gateway Dr
Melbourne, FL 32901-2607
Phone (321) 549-0677

Other practice location 4

1600 SW Archer Road
Gainesville, FL 32610-3001
Phone (352) 265-0291

Other identifiers 2

IdentifierTypeStateIssuer
107828500MedicaidFL
S6029OtherFLMEDICARE HF

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20191121000773 NY Practitioner - Diagnostic Radiology 3971935412 Reassigns benefits to 2 organizations
I20200715001102 FL Practitioner - Diagnostic Radiology 3971935412 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Oklahoma College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians
Brevard Physician Associates PLLCGroup PAC ID 1850535048, 221 clinicians
Florida Clinical Practice Association IncGroup PAC ID 0345146254, 1,886 clinicians

Practice addresses (Care Compare)

111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700

1300 Ave P
Brooklyn, NY 11229-1106
Phone (718) 376-1004

13303 Jamaica Ave
Jamaica, NY 11418-2618
Phone (718) 206-6923

1350 Hickory St
Melbourne, FL 32901-3224
Phone (321) 434-7000

159 E 53Rd St
New York, NY 10022-4602
Phone (646) 754-3300

160 E 34TH St
New York, NY 10016-4744
Phone (212) 263-7300

16244 S Military TRL
560 NYU Langone Cardiology Delray Bea
Delray Beach, FL 33484-6532
Phone (561) 495-7787

180 E Pulaski Rd
Huntington Station, NY 11746-1915
Phone (516) 747-8900

2001 SW 13TH St
Gainesville, FL 32608-1532
Phone (352) 265-8990

4037 NW 86TH Ter
FL 3
Gainesville, FL 32606-9277
Phone (352) 265-7777

4037 NW 86TH Terr 2ND Floor
Gainesville, FL 32606-9277

4037 NW 86TH Terr Floor
Gainesville, FL 32606-9277

6915 Austin St
Forest Hills, NY 11375-4255
Phone (718) 544-5100

Hospital & facility affiliations

  • Cape Canaveral Hospital Hospital, Cocoa Beach, FL, CCN 100177
  • Long Island Community Hospital Hospital, Patchogue, NY, CCN 330141
  • Palm Bay Hospital Hospital, Palm Bay, FL, CCN 100316
  • Uf Health Shands Hospital Hospital, Gainesville, FL, CCN 100113

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
297339NYMDDiagnostic Radiology Physician

Practice roles (10 of 12)

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Sep 1, 2025 Accepting new patients
Health First Medical Group, LLC Diagnostic Radiology CurrentSince Jul 1, 2024 Accepting new patients
Adventhealth Primary Care Network Inc CurrentSince Mar 31, 2024 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Dec 9, 2024 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Mar 31, 2024 Accepting new patients
Brevard Physician Associates, PLLC Diagnostic Radiology CurrentSince Jul 1, 2024 Accepting new patients
Health First Medical Group, LLC CurrentSince Jul 1, 2024 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Dec 9, 2024 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Mar 31, 2024 Accepting new patients
New York University CurrentSince Sep 1, 2025 Accepting new patients

Locations

661 E Altamonte Dr
Ste 115
Altamonte Springs, FL 32701
Phone (407) 831-4040

699 W Cocoa Beach Cswy
Ste 405
Cocoa Beach, FL 32931
Phone (321) 868-7272

900 Hope Way
Forest City, FL 32714
Phone (407) 357-1255

1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077

2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990

775 Primera Blvd
Ste 1031
Lake Mary, FL 32746
Phone (407) 333-9766

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

900 Winderley Pl
Ste 1100
Maitland, FL 32751
Phone (407) 200-1606

1350 Hickory St
Melbourne, FL 32901
Phone (321) 434-1771

1223 Gateway Dr
Melbourne, FL 32901
Phone (321) 549-0677

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

1400 S Orange Ave
Orlando, FL 32806
Phone (321) 841-1893

700 Hicksville Rd
Ste 205
Bethpage, NY 11714
Phone (646) 501-3325

550 1st Ave
Fl 2
New York, NY 10016
Phone (212) 263-7294

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

13303 Jamaica Ave
#13292
Richmond Hill, NY 11418
Phone (718) 291-3276

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: kbeavers58104@adventhealth.direct-ci.com
  • Direct secure messaging: kbeavers71939@epicdirect.hf.org
  • Direct secure messaging: kbeavers750371@direct.shands.ufl.edu

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 14

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1434672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785456000000",
    "number": "1871975474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 S ORANGE AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328062134",
            "telephone_number": "877-876-3627",
            "fax_number": "321-841-3794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 S ORANGE AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328062134",
            "telephone_number": "877-876-3627",
            "fax_number": "321-841-3794"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 1st Ave Fl 2",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100166402",
            "country_code": "US",
            "telephone_number": "646-501-3224",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 E Rollins St",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328031248",
            "country_code": "US",
            "telephone_number": "407-303-6973",
            "fax_number": "407-303-7844",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1223 Gateway Dr",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329012607",
            "country_code": "US",
            "telephone_number": "321-549-0677",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1600 SW Archer Road",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "326103001",
            "country_code": "US",
            "telephone_number": "352-265-0291",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEAVERS",
        "first_name": "KIMBERLY",
        "middle_name": "MICHELLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-19",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "297339",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME128578",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107828500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE HF",
            "identifier": "S6029",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.