MARIA DE LOURDES AZEVEDO GOMES (MD) – Diagnostic Radiology Physician, NPI 1932109980

MARIA DE LOURDES AZEVEDO GOMES (MD) is a healthcare provider. based in Plymouth, Minnesota. specializing in DIAGNOSTIC RADIOLOGY, INTERVENTIONAL RADIOLOGY. They hold the professional credentials MD. They hold a License No. 40553 (MN). The NPI Number for MARIA DE LOURDES AZEVEDO GOMES (MD) is 1932109980

Main info

Female
37 Years Of Experience
Accepts Medicare Assignment
Name
MARIA DE LOURDES AZEVEDO GOMES (MD)
NPI
1932109980
Phone
(763) 559-2171
Address
2800 CAMPUS DR
Enumeration Date
29 July 2005
Last Update Date
26 June 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7635815400
Graduation Year
1989 (37 years ago)
PAC ID
8628067360
Group Practice PAC ID
0042123028
Professional Enrollment ID
I20040508000293
Address ID
MN554222926RO3300XNXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,801 DIAGNOSTIC RADIOLOGY in MN

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Provider Addresses for MARIA DE LOURDES AZEVEDO GOMES (MD)

  • 2800, Campus Drive, Plymouth, Hennepin County, Minnesota, 55441, United States

    STE 10

    PLYMOUTH, MN 554412645

    Phone: (763) 559-2171

    Fax: (763) 694-9000

    Type: Mailing

  • North Memorial Medical Center, 3300, Oakdale Avenue North, Robbinsdale, Hennepin County, Minnesota, 55422, United States

    ROBBINSDALE, MN 554222926

    Phone: (763) 559-2171

    Fax: (763) 694-9000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $3,761.

Total Amount is formed as General ($3,761) + Research ($0) + Ownership ($0) = $3,761.

Last reported payment date: 2023-12-11 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($3,732).

Total Amount

$3,761

General + Research + Ownership

Payments

5

Total payment records

General Amount

$3,761

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-11

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2023-03-14

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040508000293IInterventional RadiologyMNTBD
I20230314003098IDiagnostic RadiologyWITBD

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
99152Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes3838$0
71045X-ray of chest, 1 view3229$0
36902Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist2625$0
93970Ultrasound study of arm or leg veins with compression and maneuvers2421$0
93971Ultrasound study of one arm or leg veins with compression and maneuvers2016$0
View full utilization report →

Insurance plans in this area (ZIP 55441)

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Provider's Procedures

MARIA DE LOURDES AZEVEDO GOMES (MD) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERVENTIONAL RADIOLOGYMN71010X-ray of chest, 1 view, front6158
INTERVENTIONAL RADIOLOGYMN74177CT scan of abdomen and pelvis with contrast1212

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: 0042123028View full group profile
NameSpecialtyState
Physician AssistantMN
-MN
-KY
Internal MedicineMN
-MN
Cardiovascular Disease (Cardiology)MN
-WI
Medical Oncology, HematologyMN
Certified Registered Nurse Anesthetist (Crna)MN
N E U R O S U R G E R YCO

Reviews

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Frequently asked questions

What is the 10-digit NPI for MARIA DE LOURDES AZEVEDO GOMES (MD)?
MARIA DE LOURDES AZEVEDO GOMES (MD) — NPI 1932109980 — is the standard way to identify this listing.
Is MARIA DE LOURDES AZEVEDO GOMES (MD) still practicing?
MARIA DE LOURDES AZEVEDO GOMES (MD) is currently listed as active in the public NPI registry.
What is MARIA DE LOURDES AZEVEDO GOMES (MD)'s specialty?
The listing groups MARIA DE LOURDES AZEVEDO GOMES (MD) with Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
What address line appears for MARIA DE LOURDES AZEVEDO GOMES (MD)?
MARIA DE LOURDES AZEVEDO GOMES (MD)'s geographic hint is Plymouth, Minnesota in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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