Dr. Edoardo Filippo De Queiroz Vattimo, MD, PhD

Psychiatry & Neurology, Psychiatry in Minneapolis, MN. Individual provider (NPI-1).

NPI number1730759986

StatusActive

Last updated in NPPESJul 4, 2025

Details

NPI: 1730759986
Entity type: Individual (NPI-1)
Name: Dr. Edoardo Filippo De Queiroz Vattimo
Credential: MD, PhD
Sex: Male
Sole proprietor: No
Enumeration date: Jun 29, 2021
Certification date: Jul 4, 2025
Last updated: Jul 4, 2025

Medicare and OIG

Medicare enrolled (PECOS): Yes · ORDER AND REFERRING ONLY - PSYCHIATRY
Can order and refer: Part B No · DME Yes · Home health No · Power mobility Yes · Hospice No
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
2084P0800X	Psychiatry & Neurology, Psychiatry	80023	MN	Yes

Practice location

2450 Riverside Ave
Minneapolis, MN 55454-1450

Phone 612-624-7572

Mailing address

2450 Riverside Ave
Minneapolis, MN 55454-1450

Phone 612-624-7572

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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