Leo Odle, DO

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

3357 Issued in AZ

Practice address

3420 S Mercy Rd Ste 101
Gilbert, AZ 85297-0420

Phone

(480) 899-4420

Fax

(480) 219-3214

NPI assigned

Oct 11, 2006

Sex

Male

Sole proprietor

No

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 AZ

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

Internal Medicine

Education

At Still University of Health Sciences, College of Osteo Med, Kirksville, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Greater Phoenix Collaborative Care PCGroup PAC ID 0941503304, 111 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Dignity Health at Home Home health agency, Chandler, AZ, CCN 037281
• Chandler Regional Medical Center Hospital, Chandler, AZ, CCN 030036
• Mercy Gilbert Medical Center Hospital, Gilbert, AZ, CCN 030119

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lodle113011@westdirect.optum.com

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.

• Greater Phoenix Collaborative Care PC

  • Clinic/Center
  • Phoenix, AZ
  • NPI 1750686614
  Medicare reassignment Care Compare group NPD
• 4C Medical Group PLC

  • Multi-Specialty Clinic/Center
  • Scottsdale, AZ
  • NPI 1558654384

  Internal Medicine

  Medicare reassignment NPD
• 4C Medical Group PLC

  • Urgent Care Clinic/Center
  • Carefree, AZ
  • NPI 1669916607
  NPD
• Greater Phoenix Collaborative Care PC

  • Diagnostic Radiology Physician
  • Phoenix, AZ
  • NPI 1790581742
  NPD
• Arizona Urology Specialists, PLLC

  • Urology Physician
  • Phoenix, AZ
  • NPI 1740426485
  NPD (past)

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

• Dignity Community Care

  • General Acute Care Hospital
  • Chandler, AZ
  • NPI 1700910189
  Care Compare affiliation
• Dignity Health

  • General Acute Care Hospital
  • Gilbert, AZ
  • NPI 1992735088
  Care Compare affiliation
• Dignity Health at Home, LLC

  • Home Health Agency
  • Chandler, AZ
  • NPI 1831678218
  Care Compare affiliation

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700611200000",
    "number": "1073601415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1684 E BOSTON ST",
            "address_2": "STE. 101",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852956219",
            "telephone_number": "480-899-4420",
            "fax_number": "480-219-3214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3420 S MERCY RD STE 101",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852970420",
            "telephone_number": "480-899-4420",
            "fax_number": "480-219-3214"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1684 E Boston St",
            "address_2": "Ste. 101",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852956219",
            "country_code": "US",
            "telephone_number": "480-899-4420",
            "fax_number": "480-219-3214",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ODLE",
        "first_name": "LEO",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2023-11-22",
        "certification_date": "2023-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "3357",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "465618",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Latrice C Ochieng, MLE, CLT, HHP, BCHN
• Risa M Ochoa Jr.
• Ocotillo Surgery Center LLC
• Ocotillo Treatment Center, LLC
• Jwan Odisho, AGACNP-BC
• Marcia Odonnell
• Kristin N Oehler, APRN;FNP-C
• John Cummins Oertle III, N.D.
• Katelyn Oeser, CCC-SLP
• Jennifer Oetjen, LAC

• Internal Medicine Physician in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2023; 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.