EVANS O MAGAMBO (MD) – Emergency Medicine Physician, NPI 1881824407
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,172 EMERGENCY MEDICINE in MN
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Provider Addresses for EVANS O MAGAMBO (MD)
St. Gabriel's Hospital, 815, 2nd Street Southeast, Little Falls, Morrison County, Minnesota, 56345, United States
LITTLE FALLS, MN 563453505
Phone: (320) 632-5441
Fax: (320) 631-5616
Type: Location
3699, Cavallo Pass, Chevalle, Chaska, Carver County, Minnesota, 55318, United States
CHASKA, MN 553183602
Phone: (612) 816-8815
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.
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: 2026-03-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-08-31 (1015 days ago).
Enrollment records
4
Earliest due date
2023-08-31
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 |
|---|---|---|---|---|
| I20120817000319 | I | Family Practice | MN | 2023-08-31 |
| I20250313002180 | I | Emergency Medicine | IN | TBD |
| I20250421000456 | I | Emergency Medicine | KY | TBD |
| I20260309000910 | I | Family Practice | TN | TBD |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 56345)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | FL | |
| Emergency Medicine | WI | |
| Emergency Medicine | IN | |
| Emergency Medicine | IL | |
| Emergency Medicine | IN | |
| Emergency Medicine | IN | |
| Emergency Medicine | OH | |
| Emergency Medicine | NJ | |
| - | CO | |
| Emergency Medicine | OH |
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