Data Notice: All results sourced from the public CMS NPPES NPI Registry (45 CFR Part 162), for healthcare administrative use only (credentialing, billing, insurance verification). Not for law enforcement or legal proceedings. Not affiliated with CMS, HHS, or the US Government. Verify critical details at npiregistry.cms.hhs.gov. No queries stored.
Export Provider Record NPI 1174510127
Kimberly Rose GatzimosMD
Active
NPI Number1174510127
NPI TypeNPI-1 Individual
SpecialtyInternal Medicine
Provider Details
NPI1174510127
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2005-10-04
Last Updated2025-02-19
Mailing Address6101 Blue Lagoon Dr Ste 200
Miami, FL 33126-3168
United States
Phone: (844) 630-0700 | Fax: (877) 374-1924
📍 View Map
Primary Practice Address5430 E Washington St
Indianapolis, IN 46219-6446
United States
Phone: (317) 969-7935 | Fax: (877) 550-2158
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDIN200134930-
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes207R00000X – Internal MedicineIN01037050
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About NPI 1174510127

Kimberly Rose Gatzimos MD is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1174510127. The primary specialty listed is Internal Medicine. The provider is located in Indianapolis, IN. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2005-10-04. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1174510127?

NPI 1174510127 belongs to Kimberly Rose Gatzimos MD, a Internal Medicine in Indianapolis, IN. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1174510127 active?

The current status of NPI 1174510127 in the NPPES registry is Active. The record was last updated on 2025-02-19.

What specialty is NPI 1174510127?

NPI 1174510127 is classified under the taxonomy Internal Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1174510127?

You can verify NPI 1174510127 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1174510127?

The primary practice address on file for NPI 1174510127 is 5430 E Washington St, Indianapolis, IN 46219-6446. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1174510127 issued?

NPI 1174510127 was first issued (enumerated) on 2005-10-04. The NPPES record was last updated on 2025-02-19.

Practice Location Map

Kimberly Rose Gatzimos is located at 5430 E Washington St, Indianapolis, IN. Use the map below to find directions or verify the practice location.

📍 5430 E Washington St, Indianapolis, IN 46219-6446  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Kimberly Rose Gatzimos. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1174510127. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Internal Medicine01037050IN
Data Verified from CMS NPPES Last synced: 2026-07-09 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162