GUILLERMO ALFREDO MARROQUIN GALVEZ (M.D.) – Obstetrics & Gynecology Physician, NPI 1104104736

GUILLERMO ALFREDO MARROQUIN GALVEZ (M.D.) is a healthcare provider. based in Detroit lakes, Minnesota. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials M.D.. They hold a License No. 10110A (WY). The NPI Number for GUILLERMO ALFREDO MARROQUIN GALVEZ (M.D.) is 1104104736

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
GUILLERMO ALFREDO MARROQUIN GALVEZ (M.D.)
NPI
1104104736
Phone
(218) 847-5611
Address
1027 WASHINGTON AVE
Enumeration Date
1 August 2011
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2189834300
Graduation Year
2009 (17 years ago)
PAC ID
7517273790
Group Practice PAC ID
1658367925
Professional Enrollment ID
I20170322001865
Address ID
MN565699612OG4052034XX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:14State licenses:2Digital endpointsOther names

822 OBSTETRICS/GYNECOLOGY in MN

Provider Addresses for GUILLERMO ALFREDO MARROQUIN GALVEZ (M.D.)

  • 1027 WASHINGTON AVE

    DETROIT LAKES, MN 565013409

    Phone: (218) 847-5611

    Type: Mailing

  • 3000 COLLEGE DR

    ROCK SPRINGS, WY 829014202

    Phone: (307) 362-1861

    Fax: (307) 362-1277

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 25 Open Payments records for all available years, with a total value of $9,218.

Total Amount is formed as General ($9,218) + Research ($0) + Ownership ($0) = $9,218.

Last reported payment date: 2024-12-27 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($9,218).

Total Amount

$9,218

General + Research + Ownership

Payments

25

Total payment records

General Amount

$9,218

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-27

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Intuitive Surgical, Inc.$9,218
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: 2017-03-22

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
I20160901001556IObstetrics/GynecologyMNTBD
I20170322001865IObstetrics/GynecologyTXTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes2919$0
View full utilization report →

Insurance plans in this area (ZIP 56501)

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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: 1658367925View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeMN
-MN
Orthopedic Surgery, General Practice, Orthopedic SurgeryMN
Qualified AudiologistMN
O B S T E T R I C S/ G Y N E C O L O G YND
-MN
Nurse PractitionerMN
Nurse PractitionerMN
Nurse PractitionerMN
O P T O M E T R YMN

Reviews

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Frequently asked questions

Can I use this page to confirm GUILLERMO ALFREDO MARROQUIN GALVEZ (M.D.)'s NPI?
Yes. GUILLERMO ALFREDO MARROQUIN GALVEZ (M.D.) is listed with NPI 1104104736 in the public NPI dataset.
Does the file indicate GUILLERMO ALFREDO MARROQUIN GALVEZ (M.D.) is practicing under active NPI?
Directory data currently reports GUILLERMO ALFREDO MARROQUIN GALVEZ (M.D.) as active.
What taxonomy line describes GUILLERMO ALFREDO MARROQUIN GALVEZ (M.D.)?
For research purposes, treat GUILLERMO ALFREDO MARROQUIN GALVEZ (M.D.) as Obstetrics & Gynecology Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for GUILLERMO ALFREDO MARROQUIN GALVEZ (M.D.)?
GUILLERMO ALFREDO MARROQUIN GALVEZ (M.D.)'s geographic hint is Detroit Lakes, Minnesota in our summary view.
Why does GUILLERMO ALFREDO MARROQUIN GALVEZ (M.D.) have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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