DR. AYODALE SAMUELLA ODULATE (M.D.) – Diagnostic Radiology Physician, NPI 1952378283
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,897 DIAGNOSTIC RADIOLOGY in MA
Provider Addresses for DR. AYODALE SAMUELLA ODULATE (M.D.)
250 Kennedy Dr
Suite 702
Malden, MA 021483326
Phone: (781) 519-0226
Type: Location
3660 Arlington Ave
Riverside, CA 92506
Phone: (951) 782-3045
Type: Location
7117 Brockton Ave
Riverside, CA 925062658
Phone: (951) 782-3720
Type: Location
Arlington Avenue, Riverside, Riverside County, California, 92506, United States
RIVERSIDE, CA 925063912
Phone:
Type: Mailing
7117, Brockton Avenue, Riverside, Riverside County, California, 92506, United States
RIVERSIDE, CA 925062658
Phone: (951) 782-3720
Type: Location
7601 PIONEERS BLVD
LINCOLN, NE 685064675
Phone: (402) 484-6677
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $46.
Total Amount is formed as General ($46) + Research ($0) + Ownership ($0) = $46.
Last reported payment date: 2024-02-16 • Largest payer in this snapshot: Davol Inc. ($46).
Total Amount
$46
General + Research + Ownership
Payments
3
Total payment records
General Amount
$46
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Davol Inc. | $46 |
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: 2022-01-28
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 |
|---|---|---|---|---|
| I20220128000492 | I | Diagnostic Radiology | NE | 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 |
|---|---|---|---|---|
| A9575 | Injection, gadoterate meglumine, 0.1 ml | 10,730 | 59 | $0 |
| 77067 | Screening mammography | 1,912 | 1,912 | $0 |
| 77063 | Screening 3d breast mammography | 1,882 | 1,882 | $0 |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 1,500 | 15 | $0 |
| 77065 | Diagnostic mammography of 1 breast | 409 | 387 | $0 |
Insurance plans in this area (ZIP 02148)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | NE | |
| - | NE | |
| Nurse Practitioner | NE | |
| - | NE | |
| Diagnostic Radiology | MN | |
| Interventional Radiology, Diagnostic Radiology | NE | |
| Diagnostic Radiology | NE | |
| Diagnostic Radiology | FL | |
| Diagnostic Radiology | NE | |
| Diagnostic Radiology | NE |
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