ALONSO JR. CARRASCO (MD) – Urology Physician, NPI 1710299706
Urology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
284 UROLOGY in MN
Provider Addresses for ALONSO JR. CARRASCO (MD)
4530 77TH ST W STE 205
EDINA, MN 554355003
Phone: (612) 813-8000
Fax: (952) 835-9443
Type: Mailing
2530 CHICAGO AVE STE 550
MINNEAPOLIS, MN 554044293
Phone: (612) 813-8000
Fax: (612) 813-8005
Type: Location
2401 GILLHAM RD.
PROVIDER ENROLLMENT
KANSAS CITY, MO 641084619
Phone: (816) 701-5200
Type: Mailing
2401 GILLHAM RD
KANSAS CITY, MO 641084619
Phone: (816) 234-3000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $257.
Total Amount is formed as General ($257) + Research ($0) + Ownership ($0) = $257.
Last reported payment date: 2024-08-14 • Largest payer in this snapshot: COLOPLAST CORP ($172).
Total Amount
$257
General + Research + Ownership
Payments
2
Total payment records
General Amount
$257
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| COLOPLAST CORP | $172 |
| Teleflex LLC | $86 |
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: 2022-12-19
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20111105000093 | I | Urology | MN | TBD |
| I20221219000868 | I | Urology | ND | 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 55435)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | ND | |
| Interventional Radiology | ND | |
| General Surgery | MN | |
| Nurse Practitioner | ND | |
| Physical Therapist In Private Practice | ND | |
| Nurse Practitioner | ND | |
| Hospitalist, Internal Medicine | ND | |
| Family Practice | ND | |
| Nurse Practitioner | MN | |
| Nurse Practitioner | ND |
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