OMAZONNA AMADI (MD) – Family Medicine Physician, NPI 1013400753
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,861 FAMILY PRACTICE in IN
Provider Addresses for OMAZONNA AMADI (MD)
1400 E 9TH ST
ROCHESTER, IN 469758931
Phone: (574) 223-2020
Type: Mailing
Saint Josephs Hospital Health Center, 301, Prospect Avenue, Syracuse, Onondaga County, New York, 13203, United States
SYRACUSE, NY 132031807
Phone: (315) 448-5536
Type: Mailing
301 PROSPECT AVE, MEDICAL STAFF OFFICE
SYRACUSE, NY 132031807
Phone: (315) 448-5536
Fax: (315) 744-1218
Type: Mailing
301 PROSPECT AVE, PRIMARY CARE CENTER
STE 706
SYRACUSE, NY 132031899
Phone: (315) 703-5200
Fax: (315) 703-5201
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $33.
Total Amount is formed as General ($33) + Research ($0) + Ownership ($0) = $33.
Last reported payment date: 2023-07-11 • Largest payer in this snapshot: Nevro Corp. ($33).
Total Amount
$33
General + Research + Ownership
Payments
1
Total payment records
General Amount
$33
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-07-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Nevro Corp. | $33 |
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: 2022-08-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220815001660 | I | Family Practice | IN | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 127 | 77 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 37 | 37 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 19 | 19 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 16 | 16 | $0 |
Insurance plans in this area (ZIP 46975)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | NM | |
| Pediatric Medicine | IN | |
| Family Practice, Emergency Medicine | IN | |
| Nurse Practitioner | IN | |
| Family Practice | IN | |
| Nurse Practitioner | IN | |
| Family Practice | IN | |
| Orthopedic Surgery | IN | |
| Nurse Practitioner | IN | |
| Physician Assistant | IN |
Reviews
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