TED GEORGE ODY ACHUFUSI (DO) – Family Medicine Physician, NPI 1033353792
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,041 FAMILY PRACTICE in IL
Provider Addresses for TED GEORGE ODY ACHUFUSI (DO)
31 W 155th St
Harvey, IL 604263556
Phone: (708) 596-5177
Fax: (708) 596-5518
Type: Location
19767 Torrence Ave
Lynwood, IL 604117624
Phone: (708) 596-5177
Fax: (708) 596-5518
Type: Location
1536, Vincennes Avenue, Chicago Heights, Bloom Township, Cook County, Illinois, 60411, United States
CHICAGO HEIGHTS, IL 604113458
Phone:
Type: Mailing
PO BOX 781076
DETROIT, MI 482781076
Phone: (317) 528-4800
Fax: (317) 865-1479
Type: Mailing
1225 E COOLSPRING AVE STE 2F
MICHIGAN CITY, IN 463606312
Phone: (219) 873-2904
Fax: (219) 873-2483
Type: Location
31 W 155TH ST
HARVEY, IL 604263556
Phone: (708) 596-5177
Fax: (708) 596-5518
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 27 Open Payments records for all available years, with a total value of $1,242.
Total Amount is formed as General ($1,242) + Research ($0) + Ownership ($0) = $1,242.
Last reported payment date: 2024-09-04 • Largest payer in this snapshot: Janssen Biotech, Inc. ($468).
Total Amount
$1,242
General + Research + Ownership
Payments
27
Total payment records
General Amount
$1,242
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Biotech, Inc. | $468 |
| Ardelyx, Inc. | $130 |
| E.R. Squibb & Sons, L.L.C. | $122 |
| CapsoVision, Inc. | $112 |
| QOL Medical, LLC | $107 |
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: 2022-03-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20121110000201 | I | Family Practice | IN | TBD |
| I20220309000983 | I | Family Practice | IL | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 60426)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IN | |
| - | IN | |
| - | IN | |
| - | MI | |
| - | IN | |
| - | IN | |
| Family Practice | IN | |
| - | MI | |
| Internal Medicine | IN | |
| Internal Medicine, Emergency Medicine | MI |
Reviews
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