THEODROS MAMO (MD, PHD) – Blood Banking & Transfusion Medicine Physician, NPI 1285196097
Blood Banking & Transfusion Medicine Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
439 HEMATOLOGY/ONCOLOGY in MN
Provider Addresses for THEODROS MAMO (MD, PHD)
420 DELAWARE STREET SE
MMC 609, MAYO D142
MINNEAPOLIS, MN 554553718
Phone: (612) 624-8133
Type: Mailing
Civic Center Drive Northeast, Rochester, Olmsted County, Minnesota, 55906, United States
ROCHESTER, MN 559063718
Phone: (507) 990-6675
Type: Mailing
Children's Medical Center of Dallas, 1935, Medical District Drive, Dallas, TX, Dallas, Dallas County, Texas, 75235, United States
DALLAS, TX 752357701
Phone: (214) 456-3292
Type: Location
1935 Medical District Dr
Dallas, TX 752357701
Phone: (214) 456-3292
Type: Location
PO BOX 7527
DUBLIN, OH 430170727
Phone:
Type: Mailing
500 THOMAS LN STE 3A
COLUMBUS, OH 432141419
Phone: (614) 566-2500
Fax: (614) 533-0335
Type: Location
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: 2025-08-04
PECOS data refreshed: 2026-05-27
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20250804000396 | I | Hematology/Oncology | OH | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 55455)
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