DR. RENATA LARISSA KESALA (D.O.) – Diagnostic Radiology Physician, NPI 1447468798
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. RENATA LARISSA KESALA (D.O.)
3600 MINNESOTA DR STE 800
EDINA, MN 554357915
Phone: (952) 595-1301
Fax: (612) 294-4903
Type: Location
11995 SINGLETREE LN STE 500
EDEN PRAIRIE, MN 553445349
Phone: (952) 595-1301
Fax: (612) 294-4903
Type: Mailing
39000 Bob Hope Dr
Rancho Mirage, CA 922703221
Phone: (760) 340-3911
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: 2025-12-19
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 |
|---|---|---|---|---|
| I20110517000669 | I | Diagnostic Radiology | CA | TBD |
| I20210121000795 | I | Diagnostic Radiology | WA | TBD |
| I20250603002285 | I | Diagnostic Radiology | MN | TBD |
| I20251002001916 | I | Diagnostic Radiology | IA | TBD |
| I20251219003099 | I | Diagnostic Radiology | ID | 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 |
|---|---|---|---|---|
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 1,990 | 19 | $0 |
| A9585 | Injection, gadobutrol, 0.1 ml | 1,068 | 13 | $0 |
| 71045 | X-ray of chest, 1 view | 846 | 785 | $0 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 541 | 537 | $0 |
| 70450 | Ct scan head or brain without contrast | 363 | 360 | $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 | CA | 20610 | Aspiration and/or injection of large joint or joint capsule | 18 | 16 |
| DIAGNOSTIC RADIOLOGY | CA | 71250 | CT scan chest | 23 | 23 |
| DIAGNOSTIC RADIOLOGY | CA | 73110 | X-ray of wrist, minimum of 3 views | 22 | 21 |
| DIAGNOSTIC RADIOLOGY | CA | 73630 | X-ray of foot, minimum of 3 views | 76 | 62 |
| DIAGNOSTIC RADIOLOGY | CA | 74177 | CT scan of abdomen and pelvis with contrast | 20 | 20 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | CA | |
| A L L E R G Y/ I M M U N O L O G Y | CA | |
| - | CA | |
| Hospitalist, Obstetrics/Gynecology | CA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OR | |
| - | CA | |
| - | CA | |
| - | CA | |
| - | CA | |
| A N E S T H E S I O L O G Y | CA |
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