Active NPI
Oluwadamilola Daniel Odutola, MD
- Internal Medicine Physician
- Kingwood, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- V9080
- Practice address
- 22751 Professional Dr Ste 120
Kingwood, TX 77339-6022 - Phone
- (346) 842-6619
- NPI assigned
- Apr 20, 2019
- Last updated
- Jul 9, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 87643 | SC | |
| Student in an Organized Health Care Education/Training Program | 390200000X | NY | ||
| Internal Medicine Physician | 207R00000X | V9080 | TX | Primary |
Addresses
Primary practice location
22751 Professional Dr Ste 120
Kingwood, TX 77339-6022
Mailing address
PO Box 23321
New York, NY 10087-3321
Phone (843) 792-6200
Other practice location 1
4422 3rd Ave
Bronx, NY 10457-2545
Phone (718) 960-6202
Other practice location 2
805 Pamplico Hwy
Florence, SC 29505-6047
Phone (843) 792-1414
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
22751 Professional Dr
Suite 120
Kingwood, TX 77339-6024
Phone (281) 312-4838
2626 S Loop W
Suite 265
Houston, TX 77054-5636
Phone (713) 796-9955
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.41 of 100
- Quality
- 64.93
- Promoting interoperability
- 99
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| V9080 | TX | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neurosurgery of Kingwood, PLLC | Current | Accepting new patients | |
| Musc Community Physicians | Current | Accepting new patients | |
| Specialty Associates of West Houston PLLC | Internal Medicine | Current | Accepting new patients |
| Musc Community Physicians | Internal Medicine | Current | Accepting new patients |
| Medical University Hospital Authority | Past | Accepting new patients |
Locations
506 North St
Bamberg, SC 29003
Phone (803) 245-6290
805 Pamplico Hwy
Florence, SC 29505
Phone (843) 674-2500
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
1140 Business Center Dr
Ste 490
Houston, TX 77043
Phone (713) 932-1247
22751 Professional Dr
Ste 120
Kingwood, TX 77339
Phone (281) 312-4838
15200 Southwest Fwy
Ste 290
Sugar Land, TX 77478
Phone (281) 980-2010
Interoperability endpoints
- oluwadamilola.odutola.1@18107.direct.athenahealth.com
- oluwadamilola.odutola@hca9.eclinicaldirectplus.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Houston, TX
- NPI 1699062349
-
- Geriatric Medicine (Internal Medicine) Physician
- Houston, TX
- NPI 1316801004
-
- Geriatric Medicine (Internal Medicine) Physician
- Houston, TX
- NPI 1134442320
-
dba MUSC Community Physicians Specialty
- Internal Medicine Physician
- Bamberg, SC
- NPI 1841878006
-
- Neurology Physician
- Kingwood, TX
- NPI 1164875365
-
dba MUSC Health Primary Care - Bowman
- Rural Health Clinic/Center
- Bowman, SC
- NPI 1225735772
-
- General Acute Care Hospital
- Florence, SC
- NPI 1184197683
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba HCA Houston Healthcare North Cypress a Campus of HCA Houston Healthcar
- General Acute Care Hospital
- Kingwood, TX
- NPI 1811942238
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752019200000",
"number": "1255994620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 23321",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100873321",
"telephone_number": "843-792-6200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22751 PROFESSIONAL DR STE 120",
"city": "KINGWOOD",
"state": "TX",
"postal_code": "773396022",
"telephone_number": "346-842-6619"
}
],
"practiceLocations": [
{
"address_1": "4422 3rd Ave",
"address_purpose": "LOCATION",
"city": "Bronx",
"state": "NY",
"postal_code": "104572545",
"country_code": "US",
"telephone_number": "718-960-6202",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "805 Pamplico Hwy",
"address_purpose": "LOCATION",
"city": "Florence",
"state": "SC",
"postal_code": "295056047",
"country_code": "US",
"telephone_number": "843-792-1414",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ODUTOLA",
"first_name": "OLUWADAMILOLA",
"middle_name": "DANIEL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-20",
"last_updated": "2025-07-09",
"certification_date": "2025-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "SC",
"license": "87643",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NY",
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "V9080",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kingwood, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2025; 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.