Active NPI
Peter M Odell, MD
- Specialist
- New York, NY
National Provider Identifier
1265477608
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 109269
- Practice address
- 53 E 70TH St
New York, NY 10021-4941 - Phone
- (212) 288-8025
- NPI assigned
- Jun 19, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 109269 | NY | Primary |
Addresses
Primary practice location
53 E 70TH St
New York, NY 10021-4941
Mailing address
53 E 70TH St
New York, NY 10021-4941
Phone (212) 288-8025
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Dec 31, 2019 through Dec 31, 2027
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Tufts University School of Medicine, 1968
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
53 E 70TH St
New York, NY 10021-4986
Hospital & facility affiliations
- New York-Presbyterian Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- podell68958@northwell.direct-ci.com
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New York, NY
- NPI 1144504044
-
- General Acute Care Hospital
- New York, NY
- NPI 1194832477
-
- General Acute Care Hospital
- Bronxville, NY
- NPI 1780196345
-
- General Acute Care Hospital
- New York, NY
- NPI 1952332801
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1286236800000",
"number": "1265477608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "53 E 70TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100214941",
"telephone_number": "212-288-8025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "53 E 70TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100214941",
"telephone_number": "212-288-8025"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ODELL",
"first_name": "PETER",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-19",
"last_updated": "2010-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "109269",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2010; 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; Opt Out Affidavits.
- 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.