NPIMap

Individual provider Active NPI

Kimberly Ann Grill, DO

  • Internal Medicine Physician
  • St Petersburg, FL
National Provider Identifier
1902816606
Registry record updated May 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0S 9367 Issued in FL
Practice address
5425 Park St N
Suite 5W
St Petersburg, FL 33709-7062
Phone
(727) 545-4700
Fax
(727) 545-4755
NPI assigned
Aug 8, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0S 9367 FL Primary

Addresses

Primary practice location

5425 Park St N
Suite 5W
St Petersburg, FL 33709-7062

Mailing address

10863 Park Blvd Ste 4
Seminole, FL 33772-5423
Phone (727) 545-4700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070214000367 FL Practitioner - Internal Medicine 1850393158 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tampa General Medical Group IncGroup PAC ID 7416253828, 353 clinicians

Practice addresses (Care Compare)

7601 Seminole Blvd
Suite a
Seminole, FL 33772-4868
Phone (727) 828-6340

Hospital & facility affiliations

  • Keystone Home Health Inc Home health agency, St Petersburg, FL, CCN 108469
  • Concierge Home Care Home health agency, Clearwater, FL, CCN 107618
  • Prohealth Home Health Services Inc Home health agency, Saint Petersburg, FL, CCN 683166
  • Primecare Home Health Home health agency, Saint Petersburg, FL, CCN 103197
  • Baycare Home Care Inc Home health agency, Largo, FL, CCN 107212
  • Tampa General Hospital Hospital, Tampa, FL, CCN 100128
  • HCA Florida St Petersburg Hospital Hospital, Saint Petersburg, FL, CCN 100180
  • Morton Plant Hospital Hospital, Clearwater, FL, CCN 100127
  • Adventhealth North Pinellas Hospital, Tarpon Springs, FL, CCN 100055
  • St Anthonys Hospital Hospital, Saint Petersburg, FL, CCN 100067

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0S 9367FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa General Medical Group Inc Current Accepting new patients
Tampa General Hospital Current Accepting new patients
Tampa General Medical Group Inc CurrentSince Nov 17, 2019 Accepting new patients
Tampa General Medical Group Inc Internal Medicine CurrentSince Nov 17, 2019 Accepting new patients
Tampa General Medical Group Inc Past Accepting new patients

Locations

214 Morrison Rd
Ste 110
Brandon, FL 33511
Phone (800) 844-9302

7601 Seminole Blvd
Ste A
Seminole, FL 33772
Phone (727) 828-6340

2433 Country Place Blvd
Trinity, FL 34655
Phone (813) 844-8200

Interoperability endpoints

  • Direct secure messaging: kgrill31294@direct.tgh.org
  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/

Organizations & group practices 5

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.

Hospital & facility affiliations 10

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": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558828800000",
    "number": "1902816606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10863 PARK BLVD STE 4",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337725423",
            "telephone_number": "727-545-4700",
            "fax_number": "727-545-4755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5425 PARK ST N",
            "address_2": "SUITE 5W",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337097062",
            "telephone_number": "727-545-4700",
            "fax_number": "727-545-4755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRILL",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2019-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "0S 9367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.