DR. ROBERT LEO SHERIDAN (MD) – Surgery Physician, NPI 1831171297

DR. ROBERT LEO SHERIDAN (MD) is a healthcare provider. based in Charlestown, Massachusetts. specializing in Surgery Physician. They hold the professional credentials MD. They hold a License No. 74746 (MA). The NPI Number for DR. ROBERT LEO SHERIDAN (MD) is 1831171297

Main info

Male
47 Years Of Experience
Accepts Medicare Assignment
Name
DR. ROBERT LEO SHERIDAN (MD)
NPI
1831171297
Phone
(617) 726-5633
Address
PO BOX 9142
Enumeration Date
18 November 2005
Last Update Date
14 November 2012

Doctor Profile

Medical School Name
BOSTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6177240287
Graduation Year
1979 (47 years ago)
PAC ID
4981678166
Group Practice PAC ID
2466365820
Professional Enrollment ID
I20040824000093
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. ROBERT LEO SHERIDAN (MD)

  • Charlestown Post Office (mobile), Pattern Close, St Austell Bay, Charlestown, Cornwall, England, PL25 3FQ, United Kingdom

    MASS GENERAL PHYSICIAN ORGANIZATION

    CHARLESTOWN, MA 021299142

    Phone: (617) 726-5633

    Fax: (617) 371-4740

    Type: Mailing

  • Shriners Hospitals for Children - Boston, 51, Blossom Street, Downtown Crossing, Beacon Hill, Boston, Suffolk County, Massachusetts, 02114, United States

    SBI SHRINERS BURN INSTITUTE

    BOSTON, MA 02114

    Phone: (617) 726-5633

    Fax: (617) 367-8936

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 14 Open Payments records for all available years, with a total value of $11,612.

Total Amount is formed as General ($11,612) + Research ($0) + Ownership ($0) = $11,612.

Last reported payment date: 2024-10-04 • Largest payer in this snapshot: Siemens Medical Solutions USA, Inc. ($11,568).

Total Amount

$11,612

General + Research + Ownership

Payments

14

Total payment records

General Amount

$11,612

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-04

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2004-08-24

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040824000093IGeneral SurgeryMATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02129)

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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: 2466365820View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YMA
Diagnostic RadiologyMA
Nephrology, Internal MedicineMA
Nurse PractitionerMA
P A T H O L O G YNY
P A T H O L O G YMA
P S Y C H I A T R YMA
Cardiac Electrophysiology, Internal Medicine, Cardiovascular Disease (Cardiology)MA
H E M A T O L O G Y/ O N C O L O G YMA
N E U R O L O G YMA

Reviews

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Frequently asked questions

What federal number belongs to DR. ROBERT LEO SHERIDAN (MD)?
The federal identifier for DR. ROBERT LEO SHERIDAN (MD) is NPI 1831171297.
Is DR. ROBERT LEO SHERIDAN (MD) active in the national directory?
DR. ROBERT LEO SHERIDAN (MD)'s public NPI profile is in an active state.
What does DR. ROBERT LEO SHERIDAN (MD) treat or focus on?
Patients typically see DR. ROBERT LEO SHERIDAN (MD) under the specialty Surgery Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. ROBERT LEO SHERIDAN (MD)?
The page summarizes Charlestown, Massachusetts for DR. ROBERT LEO SHERIDAN (MD); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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