DR. LEO ISMAILA AMODU (M.D., M.P.H.) – Surgery Physician, NPI 1043576564
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,028 GENERAL SURGERY in MA
Provider Addresses for DR. LEO ISMAILA AMODU (M.D., M.P.H.)
75 FRANCIS ST
CA034
BOSTON, MA 021156110
Phone: (617) 732-6861
Type: Mailing
245 AVERY LN
ROME, NY 134414237
Phone: (315) 337-1200
Type: Mailing
1500 N JAMES ST
ROME, NY 134402844
Phone: (315) 338-7184
Fax: (315) 339-1975
Type: Location
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: 2025-11-05
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 |
|---|---|---|---|---|
| I20240730001526 | I | General Surgery | OH | TBD |
| I20251105000630 | I | General Surgery | NY | 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 02115)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P O D I A T R Y | GA | |
| A N E S T H E S I O L O G Y | NY | |
| Physician Assistant | NY | |
| General Surgery | VA | |
| Internal Medicine | NY | |
| Nurse Practitioner | NY | |
| Nurse Practitioner | NY | |
| A N E S T H E S I O L O G Y | NY | |
| Family Practice | NY | |
| Nurse Practitioner | NY |
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