MAURICIO AMOEDO – Vascular & Interventional Radiology Physician, NPI 1003658766

MAURICIO AMOEDO is a healthcare provider. based in Iowa city, Iowa. specializing in DIAGNOSTIC RADIOLOGY. They hold a License No. SP-0279 (IA). The NPI Number for MAURICIO AMOEDO is 1003658766

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
MAURICIO AMOEDO
NPI
1003658766
Phone
(319) 339-3551
Address
500 E Market St
Enumeration Date
12 June 2024
Last Update Date
16 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3193561616
Graduation Year
2007 (19 years ago)
PAC ID
8022554633
Group Practice PAC ID
7618884230
Professional Enrollment ID
I20240719000120
Address ID
IA522421009IO200XXDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness85
Years active:2State licenses:1Digital endpointsOther names

434 DIAGNOSTIC RADIOLOGY in IA

Provider Addresses for MAURICIO AMOEDO

  • 500 E Market St

    Iowa City, IA 522452633

    Phone: (319) 339-3551

    Fax: (319) 248-7945

    Type: Location

  • 701 W Forevergreen Rd

    North Liberty, IA 523179848

    Phone: (319) 356-3375

    Fax: (319) 356-3949

    Type: Location

  • 200 HAWKINS DR

    IOWA CITY, IA 522421009

    Phone: (319) 353-6992

    Fax: (319) 353-8780

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2024-07-19

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20240719000120IDiagnostic RadiologyIATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 52245)

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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: 7618884230View full group profile
NameSpecialtyState
Endocrinology, Internal MedicineIA
Infectious Disease, Pediatric MedicineMI
Physician AssistantIA
-IA
Diagnostic RadiologyIA
Diagnostic RadiologyIA
Hospitalist, Internal MedicineIA
Clinical PsychologistIA
-IA
-IA

Reviews

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Frequently asked questions

How do payers reference MAURICIO AMOEDO?
For MAURICIO AMOEDO, use NPI 1003658766 as the unique 10-digit identifier.
Is MAURICIO AMOEDO shown as active in public data?
Registry records indicate MAURICIO AMOEDO maintains an active NPI.
What kind of doctor is MAURICIO AMOEDO?
MAURICIO AMOEDO is associated with Vascular & Interventional Radiology Physician in the directory — Clinical services aligned with this taxonomy classification.
Is MAURICIO AMOEDO associated with Iowa City?
Public fields place MAURICIO AMOEDO around Iowa City, Iowa. Always confirm the exact site before visiting.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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