Look up the most recent NPI and PECOS records

Jesus G Zamora

Radiology

Allopathic & Osteopathic Physicians

3600 Minnesota Dr Ste 800, Edina, MN 55435-7915

PECOS Enrollment

This provider is enrolled in PECOS as JESUS ZAMORA.

Based on the most recent information from CMS, provider Jesus G Zamora is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 6 days ago.

Profile Details

Provider ID
1457525578
Provider Type
Individual
Full Name
Zamora, Jesus G
Title
Dr.
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
4/18/2008
Last Updated
2/11/2025

Contact Information

Practice Location

3600 Minnesota Dr Ste 800, Edina, MN 55435-7915

(952) 595-1301

(612) 294-4903

Mailing Location

3600 Minnesota Dr Ste 800, Edina, MN 55435-7915

(952) 595-1301

(612) 294-4903

Provider Taxonomies

Code	Description	License
Code 2085R0202X Primary	Description Radiology Allopathic & Osteopathic Physicians	License N5118 Texas

Jesus G Zamora

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Rai, Surinder

Zaytsev, Igor

Goffigan, John C

Mohammad, Shaden Fawzi

Kerr, Dana Middleton

Carlson, Blake A

Dehart, Melanie A

Guisler, Paul D

Kim, Jennifer

Zuehlke, Peter David