Individual provider Active NPI

Khalid Ibrahim Odeh, M.D.

  • Orthopaedic Surgery Physician
  • Southfield, MI
National Provider Identifier
1083078141
Registry record updated Apr 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
4301506667 Issued in MI
Practice address
26025 Lahser Rd
Southfield, MI 48033-2606
Phone
(248) 755-2433
NPI assigned
Apr 5, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 4301506667 MI Primary

Addresses

Primary practice location

26025 Lahser Rd
Southfield, MI 48033-2606

Mailing address

26211 Central Park Blvd Ste 201
Southfield, MI 48076-4158
Phone (833) 667-3627

Other practice location 1

17877 W 14 Mile Rd
Beverly Hills, MI 48025-3127
Phone (248) 644-3920

Other practice location 2

10000 Telegraph Rd Ste 100
Taylor, MI 48180-3330
Phone (313) 887-6000

Other practice location 3

33200 W 14 Mile Rd Ste 220
West Bloomfield, MI 48322-3586
Phone (248) 855-7400

Other practice location 4

4967 Crooks Rd Ste 100
Troy, MI 48098-5812
Phone (248) 846-8060

Other practice location 5

1350 Kirts Blvd
Troy, MI 48084-4851
Phone (248) 244-9426

Other practice location 6

45816 Schoenherr Rd
Shelby Twp, MI 48315-6028
Phone (586) 842-2400

Other practice location 7

30575 Woodward Ave
Royal Oak, MI 48073-0980
Phone (248) 280-8550

Other practice location 8

26750 Providence Pkwy Ste 220
Novi, MI 48374-1212
Phone (248) 596-0412

Other practice location 9

24255 W 13 Mile Rd Ste 100
Bingham Farms, MI 48025-4345
Phone (248) 988-8085

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address khalid.odeh.1@9974.direct.athenahealth.com Direct
Direct Messaging Address kodeh4416255@direct.beaumont.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20220422001128 MI Practitioner - Orthopedic Surgery 3274920145 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Michigan Medical School, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northsport Physical Therapy and Rehabilitation P CGroup PAC ID 5294902508, shared by 2 NPIs, 43 clinicians
Michigan Orthopedic Specialists, PCGroup PAC ID 3971859869, 7 clinicians

Practice addresses (Care Compare)

10000 Telegraph Rd
Suite 100
Taylor, MI 48180-3330
Phone (313) 887-6000

1622 Dickerson Rd
Gaylord, MI 49735-9206

21031 Michigan Ave
Dearborn, MI 48124-2339
Phone (313) 277-6700

26025 Lahser Rd
FL 2
Southfield, MI 48033-2606
Phone (248) 663-1900

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion66
Laminectomy or laminotomy (partial removal of spine bones)22

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301506667MIMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beaumont Medical Group- Specialty Services CurrentSince Sep 1, 2022 Accepting new patients
Michigan Orthopaedic Surgeons, PLLC Orthopaedic Surgery CurrentSince Jan 21, 2022 Accepting new patients
Michigan Orthopedic Specialists, PC Orthopaedic Surgery CurrentSince Apr 1, 2026 Accepting new patients
William Beaumont Hospital Past Accepting new patients
Oakwood Ambulatory LLC Orthopaedic Surgery Past Accepting new patients
Michigan Orthopaedic Surgeons PLLC Orthopaedic Surgery PastSince Mar 27, 2022 Accepting new patients
Michigan Orthopaedic Surgeons PLLC Orthopaedic Surgery PastSince May 25, 2021 Accepting new patients

Locations

17877 W 14 Mile Rd
Beverly Hills, MI 48025
Phone (248) 644-3920

24255 W 13 Mile Rd
Ste 100
Bingham Farms, MI 48025
Phone (248) 988-8085

21031 Michigan Ave
Dearborn, MI 48124
Phone (313) 216-0332

28100 Grand River Ave
Ste 301
Farmington Hills, MI 48336
Phone (947) 521-1320

28080 Grand River Ave
Ste 207
Farmington Hills, MI 48336
Phone (248) 471-8829

26750 Providence Pkwy
Ste 220
Novi, MI 48374
Phone (248) 596-0412

30575 Woodward Ave
Ste 100
Royal Oak, MI 48073
Phone (248) 280-8550

26025 Lahser Rd
Fl 2
Southfield, MI 48033
Phone (248) 663-1900

26025 Lahser Rd
Southfield, MI 48033
Phone (248) 663-1900

26211 Central Park Blvd
Ste 201
Southfield, MI 48076
Phone (248) 845-4381

10000 Telegraph Rd
Ste 100
Taylor, MI 48180
Phone (313) 887-6000

1350 Kirts Blvd
Troy, MI 48084
Phone (248) 244-9426

4967 Crooks Rd
Ste 100
Troy, MI 48098
Phone (248) 846-8060

1350 Kirts Blvd
Ste 160
Troy, MI 48084
Phone (248) 244-9426

45816 Schoenherr Rd
Utica, MI 48315
Phone (586) 842-2400

33200 W 14 Mile Rd
Ste 220
West Bloomfield, MI 48322
Phone (248) 855-7400

Interoperability endpoints

  • Direct secure messaging: kodeh804417@direct.hfhs.org
  • Direct secure messaging: kodeh4416255@direct.beaumont.edu
  • Direct secure messaging: kodeh1249365@epic00.shdirect.org

Organizations & group practices 7

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.

Hospital & facility affiliations 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1459814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776988800000",
    "number": "1083078141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26211 CENTRAL PARK BLVD STE 201",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480764158",
            "telephone_number": "833-667-3627",
            "fax_number": "833-972-5509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26025 LAHSER RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480332606",
            "telephone_number": "248-755-2433"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17877 W 14 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Beverly Hills",
            "state": "MI",
            "postal_code": "480253127",
            "country_code": "US",
            "telephone_number": "248-644-3920",
            "fax_number": "844-598-9632",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10000 Telegraph Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Taylor",
            "state": "MI",
            "postal_code": "481803330",
            "country_code": "US",
            "telephone_number": "313-887-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "33200 W 14 Mile Rd Ste 220",
            "address_purpose": "LOCATION",
            "city": "West Bloomfield",
            "state": "MI",
            "postal_code": "483223586",
            "country_code": "US",
            "telephone_number": "248-855-7400",
            "fax_number": "844-598-9634",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4967 Crooks Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "MI",
            "postal_code": "480985812",
            "country_code": "US",
            "telephone_number": "248-846-8060",
            "fax_number": "833-303-1612",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1350 Kirts Blvd",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "MI",
            "postal_code": "480844851",
            "country_code": "US",
            "telephone_number": "248-244-9426",
            "fax_number": "844-607-0511",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "45816 Schoenherr Rd",
            "address_purpose": "LOCATION",
            "city": "Shelby Twp",
            "state": "MI",
            "postal_code": "483156028",
            "country_code": "US",
            "telephone_number": "586-842-2400",
            "fax_number": "833-561-1976",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30575 Woodward Ave",
            "address_purpose": "LOCATION",
            "city": "Royal Oak",
            "state": "MI",
            "postal_code": "480730980",
            "country_code": "US",
            "telephone_number": "248-280-8550",
            "fax_number": "844-266-0093",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "26750 Providence Pkwy Ste 220",
            "address_purpose": "LOCATION",
            "city": "Novi",
            "state": "MI",
            "postal_code": "483741212",
            "country_code": "US",
            "telephone_number": "248-596-0412",
            "fax_number": "833-471-5849",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24255 W 13 Mile Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Bingham Farms",
            "state": "MI",
            "postal_code": "480254345",
            "country_code": "US",
            "telephone_number": "248-988-8085",
            "fax_number": "844-598-9635",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ODEH",
        "first_name": "KHALID",
        "middle_name": "IBRAHIM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-05",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "4301506667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "khalid.odeh.1@9974.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "26025 Lahser Rd",
            "city": "Southfield",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480332606",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kodeh4416255@direct.beaumont.edu",
            "affiliation": "N",
            "address_1": "10000 Telegraph Rd Ste 100",
            "city": "Taylor",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481803330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.