Individual provider Active NPI

Quinta Adeny Odondi, MD

  • Internal Medicine Physician
  • Danville, VA
National Provider Identifier
1386491108
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0116038932 Issued in VA
Practice address
109 Bridge St
Ste 201
Danville, VA 24541
Phone
(434) 799-4488
Fax
(434) 773-6977
NPI assigned
Apr 30, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0116038932 VA Primary

Addresses

Primary practice location

109 Bridge St
Ste 201
Danville, VA 24541

Mailing address

109 Bridge St
Ste 201
Danville, VA 24541
Phone (434) 799-4488

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20241015004423 VA Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 8820520828

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: quinta.odondi.1@19847.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1714435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1386491108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 BRIDGE ST",
            "address_2": "STE 201",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "24541",
            "telephone_number": "434-799-4488",
            "fax_number": "434-773-6977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 BRIDGE ST",
            "address_2": "STE 201",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "24541",
            "telephone_number": "434-799-4488",
            "fax_number": "434-773-6977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODONDI",
        "first_name": "QUINTA",
        "middle_name": "ADENY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-30",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0116038932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, VA

Sources for this page

Verify at the official NPI Registry.