TED GEORGE ODY JR. ACHUFUSI (MD) – Gastroenterology Physician, NPI 1053809392
Gastroenterology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
448 GASTROENTEROLOGY in IN
Provider Addresses for TED GEORGE ODY JR. ACHUFUSI (MD)
9410 CALUMET AVE STE 401
MUNSTER, IN 463210018
Phone: (219) 922-4900
Fax: (219) 836-9922
Type: Location
State University of New York Upstate Medical University, 750, East Adams Street, University Hill, Syracuse, Onondaga County, New York, 13210, United States
SYRACUSE, NY 132102306
Phone: (315) 464-5136
Fax: (315) 464-7619
Type: Location
6738, Blackstone, Portage, Porter County, Indiana, 46368, United States
PORTAGE, IN 463682693
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 22 Open Payments records for all available years, with a total value of $886.
Total Amount is formed as General ($886) + Research ($0) + Ownership ($0) = $886.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($325).
Total Amount
$886
General + Research + Ownership
Payments
22
Total payment records
General Amount
$886
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2025-04-21
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 |
|---|---|---|---|---|
| I20250421000463 | I | Gastroenterology | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 46321)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IN | |
| General Surgery, Colorectal Surgery (Proctology) | NY | |
| Gynecological Oncology, Obstetrics/Gynecology | IN | |
| O B S T E T R I C S/ G Y N E C O L O G Y | IN | |
| Nurse Practitioner | IN | |
| Family Practice | IN | |
| P O D I A T R Y | IN | |
| Nurse Practitioner | IN | |
| N E U R O L O G Y | AR | |
| General Surgery | IL |
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