DR. LEENA CHACKO SALINE (D.O.) – Gastroenterology Physician, NPI 1669723029

DR. LEENA CHACKO SALINE (D.O.) is a healthcare provider. based in Fort walton beach, Florida. specializing in GASTROENTEROLOGY. They hold the professional credentials D.O.. They hold a License No. OS15786 (FL). The NPI Number for DR. LEENA CHACKO SALINE (D.O.) is 1669723029

Main info

Female
Sole Proprietor
14 Years Of Experience
Accepts Medicare Assignment
Name
DR. LEENA CHACKO SALINE (D.O.)
NPI
1669723029
Phone
(850) 357-8151
Address
928B MAR WALT DR
Enumeration Date
26 September 2012
Last Update Date
13 March 2026

Doctor Profile

Medical School Name
LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Secondary Phone
8132646490
Graduation Year
2012 (14 years ago)
PAC ID
8527301332
Group Practice PAC ID
6406753623
Professional Enrollment ID
I20190520000454
Address ID
FL335588005LU4211XRDXX405

Contacts

Secure Messaging
Leena.SalineDO@direct.mybaycare.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness95
Years active:13State licenses:1Other names

1,474 GASTROENTEROLOGY in FL

Provider Addresses for DR. LEENA CHACKO SALINE (D.O.)

  • 928B MAR WALT DR

    FORT WALTON BEACH, FL 325476706

    Phone: (850) 357-8151

    Fax: (850) 362-6060

    Type: Mailing

  • 4211 VAN DYKE RD STE 200

    LUTZ, FL 335588005

    Phone: (813) 264-6490

    Fax: (813) 443-8143

    Type: Location

  • 928B Mar Walt Dr

    Fort Walton Beach, FL 32547

    Phone: (850) 357-8151

    Fax: (850) 362-6060

    Type: Location

  • 2995 DREW ST

    CLEARWATER, FL 337593012

    Phone: (727) 532-0002

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 18 Open Payments records for all available years, with a total value of $318.

Total Amount is formed as General ($318) + Research ($0) + Ownership ($0) = $318.

Last reported payment date: 2024-06-14 • Largest payer in this snapshot: ABBVIE INC. ($168).

Total Amount

$318

General + Research + Ownership

Payments

18

Total payment records

General Amount

$318

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-14

Latest reported date

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: 2019-05-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20190520000454IGastroenterologyFLTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes1917$0
99204New patient office or other outpatient visit, 45-59 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 32547)

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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: 6406753623View full group profile

Reviews

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Frequently asked questions

What identifier follows DR. LEENA CHACKO SALINE (D.O.) across health systems?
The NPI 1669723029 uniquely identifies DR. LEENA CHACKO SALINE (D.O.) in U.S. healthcare data.
Does the public listing show DR. LEENA CHACKO SALINE (D.O.) as active?
DR. LEENA CHACKO SALINE (D.O.)'s NPI record reflects an active status in NPPES.
What type of care does DR. LEENA CHACKO SALINE (D.O.) provide?
DR. LEENA CHACKO SALINE (D.O.)'s profile centers on Gastroenterology Physician. Clinical services aligned with this taxonomy classification.
Is DR. LEENA CHACKO SALINE (D.O.) tied to Fort Walton Beach, Florida?
If you are local to Fort Walton Beach, Florida, DR. LEENA CHACKO SALINE (D.O.) may be relevant to your search.
Who maintains DR. LEENA CHACKO SALINE (D.O.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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