Leandre W. Odom, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

025417 Issued in LA

Practice address

2313 E Main St
Suite B
New Iberia, LA 70560-4091

Phone

(337) 560-5323

Fax

(337) 560-4666

NPI assigned

Jul 4, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Des Moines University of Osteopathic Medicine and Health Sciences, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Iberia Medical Center Hospital, New Iberia, LA, CCN 190054

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• C & M Medical Services, Inc.

  • Emergency Medical Services (Emergency Medicine) Physician
  • Metairie, LA
  • NPI 1710903059
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hospital Service District No 1 of Iberia Parish

  • Rehabilitation Hospital Unit
  • New Iberia, LA
  • NPI 1992159925

  Hospital

  Care Compare affiliation
• Hospital Service District No. 1 of Iberia Parish

  • General Acute Care Hospital
  • New Iberia, LA
  • NPI 1285601088

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278374400000",
    "number": "1003846809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2313 E MAIN ST",
            "address_2": "SUITE B",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705604091",
            "telephone_number": "337-560-5323",
            "fax_number": "337-560-4666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2313 E MAIN ST",
            "address_2": "SUITE B",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705604091",
            "telephone_number": "337-560-5323",
            "fax_number": "337-560-4666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODOM",
        "first_name": "LEANDRE",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2010-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "025417",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1576271",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Noninvasive Vascular Lab Inc
• Northland Hearing Centers, Inc.
• Janice A. Nugent, MD
• Tony Lee Oberle, D.C.
• Kurt B Obrien, MD
• Emmanuel Oduro, PHARMD
• Office of Public Health Louisiana
• Erinn W Olivier, MD
• Sarah Olivier
• Tyler Olivier

• All providers in New Iberia, LA
• Family Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.