Emmanuel O Odi, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

00024167 Issued in AL

Practice address

513 Brookwood Blvd
Suite 502
Birmingham, AL 35209-6862

Phone

(205) 802-6773

Fax

(205) 871-9647

NPI assigned

Jun 5, 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 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303689600000",
    "number": "1215976451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 BROOKWOOD BLVD",
            "address_2": "SUITE 502",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352096862",
            "telephone_number": "205-802-6773",
            "fax_number": "205-871-9647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 BROOKWOOD BLVD",
            "address_2": "SUITE 502",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352096862",
            "telephone_number": "205-802-6773",
            "fax_number": "205-871-9647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODI",
        "first_name": "EMMANUEL",
        "middle_name": "O",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2011-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "00024167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009937655",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ALABAMA",
            "identifier": "51518288",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00086293",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Oddesty K LLC
• Connie E Oden, LCSW
• Kylan Oden
• Terreka Oden, RN
• Araoluwa Wuraola Odesola
• April Odom
• Hannah Odom
• Patrick Odom, MD
• Richard Douglas Odom
• Keala Lashaun Odoms, MSHSA, OTR/L

• Internal Medicine Physician in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Internal Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.