AMENYEDU P. ADOVOR (D.O.) – Vascular & Interventional Radiology Physician, NPI 1740521327

AMENYEDU P. ADOVOR (D.O.) is a healthcare provider. based in Springfield, Missouri. specializing in INTERVENTIONAL RADIOLOGY, DIAGNOSTIC RADIOLOGY. They hold the professional credentials D.O.. They hold a License No. OS15878 (FL). The NPI Number for AMENYEDU P. ADOVOR (D.O.) is 1740521327

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
AMENYEDU P. ADOVOR (D.O.)
NPI
1740521327
Phone
(636) 293-0933
Address
4388 S HEMLOCK AVE
Enumeration Date
7 March 2013
Last Update Date
26 January 2026

Doctor Profile

Medical School Name
AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Secondary Phone
3527261551
Graduation Year
2013 (13 years ago)
PAC ID
2466747738
Group Practice PAC ID
3577876218
Professional Enrollment ID
I20190423001777
Address ID
FL344524720IN502XXBLVD400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness85
Years active:13State licenses:3Digital endpointsOther names

342 INTERVENTIONAL RADIOLOGY in IL

Provider Addresses for AMENYEDU P. ADOVOR (D.O.)

  • 4388 S HEMLOCK AVE

    SPRINGFIELD, MO 658101087

    Phone: (636) 293-0933

    Type: Mailing

  • 20201 CRAWFORD AVE

    OLYMPIA FIELDS, IL 604611010

    Phone: (708) 747-4000

    Type: Location

  • PO BOX 3810

    JOPLIN, MO 648033810

    Phone: (417) 347-4662

    Type: Mailing

  • 1102 W 32ND ST

    JOPLIN, MO 648043503

    Phone: (417) 347-6611

    Type: Location

  • 401 Woodland Hills Blvd

    Fort Scott, KS 667018797

    Phone: (620) 768-0388

    Type: Location

  • 100 N Pine St

    Pittsburg, KS 667624756

    Phone: (620) 308-7245

    Type: Location

  • 1606 N Broadway St

    Pittsburg, KS 667623022

    Phone: (620) 231-0958

    Type: Location

  • 1700 S Tamiami Trl

    Sarasota, FL 342393509

    Phone: (941) 917-8720

    Fax: (941) 917-1875

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $327.

Total Amount is formed as General ($327) + Research ($0) + Ownership ($0) = $327.

Last reported payment date: 2024-10-09 • Largest payer in this snapshot: Galvanize Therapeutics, Inc ($156).

Total Amount

$327

General + Research + Ownership

Payments

4

Total payment records

General Amount

$327

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-09

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: 2025-10-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

4

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
I20190423001777IDiagnostic RadiologyFLTBD
I20230613000583IDiagnostic RadiologyILTBD
I20230802000877IInterventional RadiologyMOTBD
I20251021003125IDiagnostic RadiologyKSTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
71045X-ray of chest, 1 view1,044801$0
70450Ct scan head or brain without contrast307277$0
71046X-ray of chest, 2 views296289$0
70551Mri scan of brain without contrast127124$0
72125Ct scan of upper spine without contrast117110$0
View full utilization report →

Insurance plans in this area (ZIP 65810)

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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: 3577876218View full group profile
NameSpecialtyState
Diagnostic RadiologyKY
Diagnostic RadiologyFL
Diagnostic RadiologyFL
Diagnostic RadiologyFL
Diagnostic RadiologyFL
Diagnostic RadiologyMO
Diagnostic RadiologyIL
-OH
Diagnostic RadiologyGA
Diagnostic Radiology, Vascular Surgery, Interventional RadiologyFL

Reviews

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Frequently asked questions

What unique ID ties claims to AMENYEDU P. ADOVOR (D.O.)?
NPI 1740521327 is assigned to AMENYEDU P. ADOVOR (D.O.) under the national enumeration system.
Is AMENYEDU P. ADOVOR (D.O.) active in the national directory?
AMENYEDU P. ADOVOR (D.O.)'s public NPI profile is in an active state.
What kind of provider is AMENYEDU P. ADOVOR (D.O.)?
The page reflects Vascular & Interventional Radiology Physician for AMENYEDU P. ADOVOR (D.O.). Clinical services aligned with this taxonomy classification.
What location shows for AMENYEDU P. ADOVOR (D.O.)?
We surface Springfield, Missouri for AMENYEDU P. ADOVOR (D.O.) based on available NPPES addresses.
How can I contact AMENYEDU P. ADOVOR (D.O.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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