Stephen Gbejule Odaibo, MD

Primary specialty

Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X

License

52803 Issued in KY

Practice address

120 N Eagle Creek Dr Ste 500
Lexington, KY 40509

Phone

(859) 263-3900

Fax

(859) 263-3757

NPI assigned

May 3, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in TX, WA, OR, MS4 enrollments

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 4

Specialty

Ophthalmology

Education

Duke University School of Medicine, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mississippi Retina Associates,PLLCGroup PAC ID 4880590330, 7 clinicians

University of Houston SystemGroup PAC ID 6901896356, 55 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Mississippi Retina Associates,PLLC

  • Retina Specialist (Ophthalmology) Physician
  • Madison, MS
  • NPI 1740357334

  MS, Ophthalmology

  Medicare reassignment Care Compare group NPD
• University of Houston System

  • Optometrist
  • Houston, TX
  • NPI 1861493140

  TX

  Medicare reassignment Care Compare group NPD
• Kaiser Foundation Health Plan of the Northwest

  • General Practice Physician
  • Portland, OR
  • NPI 1184786527

  Ophthalmology, OR, WA

  Medicare reassignment NPD
• University of Houston System

  • Ambulatory Surgical Clinic/Center
  • Houston, TX
  • NPI 1972853810
  Care Compare group
• Kaiser Foundation Health Plan of the Northwest

  • General Practice Physician
  • Portland, OR
  • NPI 1063990695
  NPD
• Kaiser Foundation Health Plan of the Northwest

  • Clinic/Center
  • Hillsboro, OR
  • NPI 1942718622
  NPD
• Kaiser Foundation Health Plan of the Northwest

  • General Practice Physician
  • Portland, OR
  • NPI 1982959565

  Ophthalmology

  NPD
• University of Houston

  • Community Health Worker
  • Houston, TX
  • NPI 1366081622
  NPD
• University of Houston System

  • Speech-Language Pathologist
  • Houston, TX
  • NPI 1447371430
  NPD
• Craig M. Morgan, MD, Inc

  • Specialist
  • Huntington, WV
  • NPI 1457470379
  NPD (past)
• Physicians Anesthesia Group Staffing, LLC

  • Anesthesiology Physician
  • Jackson, MS
  • NPI 1558102772
  NPD (past)

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

{
    "created_epoch": "1272844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771804800000",
    "number": "1174840920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 N EAGLE CREEK DR STE 500",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091827",
            "telephone_number": "859-263-3900",
            "fax_number": "859-263-3757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 N EAGLE CREEK DR STE 500",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "40509",
            "telephone_number": "859-263-3900",
            "fax_number": "859-263-3757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODAIBO",
        "first_name": "STEPHEN",
        "middle_name": "GBEJULE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-03",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IA",
            "license": "MD-42794",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "MS",
            "license": "36205",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "KY",
            "license": "52803",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0138707",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1174840920",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300025893",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100596590",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yosselin Ochoa, MD
• Sean W Ochsenbein, M.D.
• Olivia Ochsner, RBT
• William Noel Oconnor, MD
• Fred Ochieng Odago, MD
• Allison Odonnell, SLP
• Toluwalope Itunuoluwa Odukoya, MD
• Amanda Oerther, PSYD
• Maria Diana Oexmann, MSN, APRN, FNP-C,
• Sylvia Yirenkyi Ofei

• All providers in Lexington, KY
• Retina Specialist (Ophthalmology) Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2026; 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.