Active NPI
Rosa Esmeralda Rios Avendano, M.D.
- Family Medicine Physician
- Granite Falls, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 67090
- Practice address
- 345 10TH Ave
Granite Falls, MN 56241-1442 - Phone
- (320) 564-3111
- NPI assigned
- May 11, 2017
- Last updated
- Jul 24, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 125070190 | IL | |
| Family Medicine Physician | 207Q00000X | 67090 | MN | Primary |
Addresses
Primary practice location
345 10TH Ave
Granite Falls, MN 56241-1442
Mailing address
1127 N Oakley Blvd
Chicago, IL 60622-3507
Phone (312) 770-2040
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Rural Health Care IncAvera Granite Falls
Practice addresses (Care Compare)
1216 Ryans Rd
Worthington, MN 56187-1781
Phone (507) 372-6522
1521 Carlson St
Marshall, MN 56258-2626
Phone (507) 473-4800
345 10TH Ave
Granite Falls, MN 56241-1442
Phone (320) 564-3111
345 10TH Ave
Granite Falls, MN 56241-1499
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avera Tyler | Current | Accepting new patients | |
| Rural Health Care, Inc | Family Medicine | Current | Accepting new patients |
| Avera Marshall | Current | Accepting new patients | |
| Avera Marshall | Current | Accepting new patients | |
| Avera Granite Falls | Current | Accepting new patients | |
| Avera Tyler | Current | Accepting new patients | |
| Avera Marshall | Current | Accepting new patients | |
| Avera Granite Falls | Current | Accepting new patients | |
| Rural Health Care, Inc | Current | Accepting new patients | |
| Avera Tyler | Current | Accepting new patients |
Locations
345 10th Ave
Granite Falls, MN 56241
Phone (320) 564-3111
300 S Bruce St
Marshall, MN 56258
Phone (507) 532-9631
300 S Bruce St
Ste 100
Marshall, MN 56258
1216 Ryans Rd
Ste 3
Worthington, MN 56187
Phone (507) 372-6522
Interoperability endpoints
- rosa.rios.avendano@avera.sdhealthlink.net
- rriosavendano458139@direct.bmhcc.org
Ownership & related parties
All facility ownership & control disclosures 3
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Avera Granite Falls Health Center | Hospital | Corporate Director | Jul 1, 2023 |
| Avera Granite Falls Health Center | Hospital | Corporate Director | Jul 1, 2024 |
| Avera Granite Falls Care Center | Skilled nursing facility | Managing Control - Governing Body | Jul 1, 2023 |
Owned or controlled facilities with NPI records 3
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba Avera Granite Falls Health Center Swingbed
- Medicare Defined Swing Bed Hospital Unit
- Granite Falls, MN
- NPI 1578106498
Corporate Director
-
dba Avera Granite Falls Care Center
- Skilled Nursing Facility
- Granite Falls, MN
- NPI 1679116503
Managing Control - Governing Body
-
dba Avera Granite Falls Health Center
- Critical Access Hospital
- Granite Falls, MN
- NPI 1700429610
Corporate Director
Organizations & group practices 11
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Avera Granite Falls Health Center Swingbed
- Medicare Defined Swing Bed Hospital Unit
- Granite Falls, MN
- NPI 1578106498
-
dba Avera Granite Falls Health Center
- Critical Access Hospital
- Granite Falls, MN
- NPI 1700429610
-
dba Avera Marshall Regional Medical Center
- Critical Access Hospital
- Marshall, MN
- NPI 1568401016
-
dba Access Health Worthington
- Federally Qualified Health Center (FQHC)
- Worthington, MN
- NPI 1215317375
Family Medicine
-
dba Avera Medical Group Granite Falls
- Family Medicine Physician
- Granite Falls, MN
- NPI 1700429644
-
dba Access Health Marshall
- Federally Qualified Health Center (FQHC)
- Marshall, MN
- NPI 1740944602
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Avera Granite Falls Health Center
- Critical Access Hospital
- Granite Falls, MN
- NPI 1700429610
-
dba Avera Marshall Regional Medical Center
- Critical Access Hospital
- Marshall, MN
- NPI 1568401016
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595548800000",
"number": "1720514672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1127 N OAKLEY BLVD",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606223507",
"telephone_number": "312-770-2040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "345 10TH AVE",
"city": "GRANITE FALLS",
"state": "MN",
"postal_code": "562411442",
"telephone_number": "320-564-3111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIOS AVENDANO",
"first_name": "ROSA",
"middle_name": "ESMERALDA",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-05-11",
"last_updated": "2020-07-24",
"certification_date": "2020-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "125070190",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MN",
"license": "67090",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Granite Falls, MN
- James Nedrud, PA-C
- Susan Elaine Peterson-Bones, LICSW
- Vickie Lynn Potter, M.S., L.P.
- Reverence for Life and Concern for People Inc (Proejct Turnabout)
- Arthur J Rillo, MD
- Anneka Roderick, MS, OTR/L
- Tamala Schmitz, CNP
- Julie Elizabeth Shourds, DC
- Slater Surgical, LLC
- Angela Fay Smith, NURSE PRACTITIONER
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.