DR. CARMEN GLORIA AVENDANO (MD) – Pediatric Emergency Medicine (Emergency Medicine) Physician, NPI 1356769996

DR. CARMEN GLORIA AVENDANO (MD) is a healthcare provider. based in Plymouth, Minnesota. specializing in EMERGENCY MEDICINE, PEDIATRIC MEDICINE. They hold the professional credentials MD. They hold a License No. 65450 (MN). The NPI Number for DR. CARMEN GLORIA AVENDANO (MD) is 1356769996

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
DR. CARMEN GLORIA AVENDANO (MD)
NPI
1356769996
Phone
(763) 226-1148
Address
16210 39TH PL N
Enumeration Date
1 April 2014
Last Update Date
23 July 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9524283000
Graduation Year
2014 (12 years ago)
PAC ID
3072851336
Group Practice PAC ID
8325950975
Professional Enrollment ID
I20190731003538
Address ID
MN553793374SH1455XAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:12State licenses:1Digital endpointsOther names

1,172 EMERGENCY MEDICINE in MN

Provider Addresses for DR. CARMEN GLORIA AVENDANO (MD)

  • 16210 39TH PL N

    PLYMOUTH, MN 554461354

    Phone: (763) 226-1148

    Type: Mailing

  • 2450 RIVERSIDE AVE

    MINNEAPOLIS, MN 554541450

    Phone: (612) 672-6000

    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: 2019-07-31

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190731003538IEmergency MedicineMNTBD

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
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only12592$0
93042Electrocardiogram (ecg) 1 to 3 leads with review by physician only11759$0
99285Emergency department visit with high level of medical decision making9188$0
99284Emergency department visit with moderate level of medical decision making3737$0
99291Critical care, first 30-74 minutes2626$0
View full utilization report →

Insurance plans in this area (ZIP 55446)

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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: 8325950975View full group profile
NameSpecialtyState
Emergency MedicineMN
-MN
Emergency MedicineMN
Emergency Medicine, Peripheral Vascular DiseaseMN
Physician AssistantVA
Physician AssistantMN
Nurse PractitionerMN
Emergency MedicineMN
-MN
Emergency MedicineMN

Reviews

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Frequently asked questions

Does DR. CARMEN GLORIA AVENDANO (MD) have a public NPI I can cite?
Public records show DR. CARMEN GLORIA AVENDANO (MD) under NPI 1356769996.
Does the public listing show DR. CARMEN GLORIA AVENDANO (MD) as active?
DR. CARMEN GLORIA AVENDANO (MD)'s NPI record reflects an active status in NPPES.
Which specialty label fits DR. CARMEN GLORIA AVENDANO (MD)?
NPPES ties DR. CARMEN GLORIA AVENDANO (MD) to Pediatric Emergency Medicine (Emergency Medicine) Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. CARMEN GLORIA AVENDANO (MD)?
DR. CARMEN GLORIA AVENDANO (MD) shows a connection to Plymouth, Minnesota in registry-derived data.
Can I export DR. CARMEN GLORIA AVENDANO (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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