DR. GUILLERMO JIMENEZ (MD) – Diagnostic Radiology Physician, NPI 1154570984
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,801 DIAGNOSTIC RADIOLOGY in MN
Provider Addresses for DR. GUILLERMO JIMENEZ (MD)
3600 MINNESOTA DR STE 800
EDINA, MN 554357915
Phone: (952) 595-1100
Fax: (612) 294-4903
Type: Mailing
11995 SINGLETREE LN STE 500
EDEN PRAIRIE, MN 553445349
Phone: (952) 595-1301
Fax: (612) 294-4903
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.
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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: 2025-10-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 5 Medicare enrollment records; no due dates published yet.
Enrollment records
5
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160923000348 | I | Diagnostic Radiology | CT | TBD |
| I20201008003254 | I | Diagnostic Radiology | SC | TBD |
| I20220421000497 | I | Diagnostic Radiology | TX | TBD |
| I20230327002730 | I | Diagnostic Radiology | MT | TBD |
| I20251016001812 | I | Diagnostic Radiology | IA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 71045 | X-ray of chest, 1 view | 738 | 654 | $0 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 304 | 303 | $0 |
| 70450 | Ct scan head or brain without contrast | 261 | 258 | $0 |
| 71046 | X-ray of chest, 2 views | 221 | 220 | $0 |
| 74176 | Ct scan of abdomen and pelvis without contrast | 171 | 171 | $0 |
Insurance plans in this area (ZIP 55435)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | NY | 71250 | CT scan chest | 12 | 12 |
| DIAGNOSTIC RADIOLOGY | NY | 73630 | X-ray of foot, minimum of 3 views | 13 | 12 |
| DIAGNOSTIC RADIOLOGY | NY | 74177 | CT scan of abdomen and pelvis with contrast | 27 | 27 |
| DIAGNOSTIC RADIOLOGY | NY | 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 21 | 21 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | MN | |
| Diagnostic Radiology | GA | |
| Diagnostic Radiology | FL | |
| Diagnostic Radiology | FL | |
| Diagnostic Radiology | IL | |
| Diagnostic Radiology | GA | |
| Diagnostic Radiology | TN | |
| Diagnostic Radiology | FL | |
| Diagnostic Radiology | GA | |
| Diagnostic Radiology | MN |
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