LARISSA KRUGER GOMES (M.D.) – Nephrology Physician, NPI 1275914509

LARISSA KRUGER GOMES (M.D.) is a healthcare provider. based in Hartford, Connecticut. specializing in NEPHROLOGY. They hold the professional credentials M.D.. They hold a License No. MD17549 (RI). The NPI Number for LARISSA KRUGER GOMES (M.D.) is 1275914509

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
LARISSA KRUGER GOMES (M.D.)
NPI
1275914509
Phone
(860) 545-0200
Address
79 RETREAT AVE
Enumeration Date
11 June 2015
Last Update Date
4 May 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4014385950
Graduation Year
2015 (11 years ago)
PAC ID
1951613124
Group Practice PAC ID
8426061185
Professional Enrollment ID
I20210421001277
Address ID
RI029142641EA314XXAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:10State licenses:1Digital endpointsOther names

204 NEPHROLOGY in CT

Provider Addresses for LARISSA KRUGER GOMES (M.D.)

  • 79 RETREAT AVE

    ADULT PRIMARY CARE, BROWN STONE

    HARTFORD, CT 061062527

    Phone: (860) 545-0200

    Fax: (860) 545-3149

    Type: Mailing

  • 314 TAUNTON AVE

    EAST PROVIDENCE, RI 029142641

    Phone: (401) 438-5950

    Fax: (401) 435-2561

    Type: Location

  • 318 Waterman Ave

    East Providence, RI 029143525

    Phone: (401) 438-5950

    Fax: (401) 435-2561

    Type: Location

  • 1526 Atwood Ave

    Johnston, RI 029193289

    Phone: (401) 438-5950

    Fax: (401) 435-2561

    Type: Location

  • 1775 Bald Hill Rd

    Warwick, RI 028864231

    Phone: (401) 438-5950

    Fax: (401) 435-2561

    Type: Location

  • 318 WATERMAN AVE

    EAST PROVIDENCE, RI 029143525

    Phone: (401) 438-5950

    Fax: (401) 435-2561

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 27 Open Payments records for all available years, with a total value of $3,988.

Total Amount is formed as General ($3,988) + Research ($0) + Ownership ($0) = $3,988.

Last reported payment date: 2024-10-25 • Largest payer in this snapshot: Alnylam Pharmaceuticals Inc. ($2,555).

Total Amount

$3,988

General + Research + Ownership

Payments

27

Total payment records

General Amount

$3,988

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-25

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-09-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210421001277INephrologyRITBD
I20210908000378INephrologyMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes191101$0
99214Established patient office or other outpatient visit, 30-39 minutes186108$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes8078$0
90935Hemodialysis procedure with physician evaluation7142$0
90960Dialysis services, 4 or more physician visits per month (20 years or older)5525$0
View full utilization report →

Insurance plans in this area (ZIP 06106)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8426061185View full group profile
NameSpecialtyState
Internal Medicine, NephrologyRI
Internal Medicine, NephrologyRI
Nephrology, Internal MedicineRI
-RI
-RI
Nephrology, Internal Medicine, Internal Medicine, NephrologyRI
N E P H R O L O G YRI
Nephrology, Internal MedicineRI
Nephrology, Internal MedicineMA
Internal Medicine, NephrologyRI

Reviews

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Frequently asked questions

What number should I use to identify LARISSA KRUGER GOMES (M.D.) for billing?
Administrative and clinical systems typically use NPI 1275914509 for LARISSA KRUGER GOMES (M.D.).
Does the public listing show LARISSA KRUGER GOMES (M.D.) as active?
LARISSA KRUGER GOMES (M.D.)'s NPI record reflects an active status in NPPES.
What services align with LARISSA KRUGER GOMES (M.D.)'s listing?
LARISSA KRUGER GOMES (M.D.)'s public classification highlights Nephrology Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to LARISSA KRUGER GOMES (M.D.)?
LARISSA KRUGER GOMES (M.D.) shows a connection to Hartford, Connecticut in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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