DR. ELLENA LOIS BODDIE (M.D.) – Hospitalist Physician, NPI 1689673790

DR. ELLENA LOIS BODDIE (M.D.) is a healthcare provider. based in Sarasota, Florida. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. M15405 (ID). The NPI Number for DR. ELLENA LOIS BODDIE (M.D.) is 1689673790

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
DR. ELLENA LOIS BODDIE (M.D.)
NPI
1689673790
Phone
(301) 722-0484
Address
1507 S TUTTLE AVE
Enumeration Date
20 July 2005
Last Update Date
11 February 2025

Doctor Profile

Medical School Name
NORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Secondary Phone
6692316870
Graduation Year
2000 (26 years ago)
PAC ID
0840399515
Group Practice PAC ID
1052859873
Professional Enrollment ID
I20201105001302
Address ID
FL331793899MI390XXSTXX453
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience100
Completeness75
Years active:20State licenses:8Digital endpointsOther names

12,368 INTERNAL MEDICINE in FL

Provider Addresses for DR. ELLENA LOIS BODDIE (M.D.)

  • 1507 S TUTTLE AVE

    SARASOTA, FL 342392608

    Phone: (301) 722-0484

    Fax: (833) 903-0130

    Type: Location

  • 1000, Remington Boulevard, Bolingbrook, Will County, Illinois, 60440, United States

    SUITE 200

    BOLINGBROOK, IL 604405114

    Phone: (630) 312-7755

    Fax: (630) 856-9933

    Type: Mailing

  • 157 BALTIMORE ST STE 100

    CUMBERLAND, MD 215022472

    Phone: (301) 722-0484

    Fax: (833) 903-0130

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2023-11-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 5 Medicare enrollment records; no due dates published yet.

Enrollment records

5

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
I20070620000614IInternal MedicineILTBD
I20201105001302IInternal MedicineFLTBD
I20201120001808IInternal MedicineMITBD
I20210412000518IInternal MedicineAZTBD
I20231122002019IInternal MedicineOKTBD

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
99458Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes974160$0
99457Management using the results of remote vital sign monitoring per calendar month, first 20 minutes841213$0
99454Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days24954$0
99490Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month2613$0
99453Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment1616$0
View full utilization report →

Insurance plans in this area (ZIP 34239)

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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: 1052859873View full group profile
NameSpecialtyState
Family PracticeMD
Pediatric MedicineFL
Internal MedicineNY
Emergency Medicine, Family PracticeFL
Pediatric Medicine, Family Practice, Infectious DiseaseNY
Family PracticeDC
Family PracticeAZ
Internal MedicineCA
Family PracticeIN

Reviews

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Frequently asked questions

What is the standard ID for DR. ELLENA LOIS BODDIE (M.D.) in the U.S.?
In the U.S., DR. ELLENA LOIS BODDIE (M.D.) is identified by NPI 1689673790.
Is DR. ELLENA LOIS BODDIE (M.D.) currently accepting referrals based on NPI status?
Registry metadata lists DR. ELLENA LOIS BODDIE (M.D.) as active.
What type of care does DR. ELLENA LOIS BODDIE (M.D.) provide?
DR. ELLENA LOIS BODDIE (M.D.)'s profile centers on Hospitalist Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. ELLENA LOIS BODDIE (M.D.)?
DR. ELLENA LOIS BODDIE (M.D.) is associated with Sarasota, Florida in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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