Sean H O'Dell, DO
Individual provider Active NPI Anesthesiology Physician · Lee Summit, MO
NPI 1609040625 · NPPES record last updated Dec 5, 2025
Key facts
- NPI
- 1609040625
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- 2012014730 (MO)
- Practice address
- 2100 SE Blue Parkway
Lee Summit, MO 64063 - Phone
- (816) 282-5000
- NPI assigned
- Apr 22, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Anesthesiology
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Orthomed Staffing LLC
Practice addresses (Care Compare)
1050 Old Des Peres Rd
Suite 150
Saint Louis, MO 63131-1874
Phone (888) 324-7432
Hospital & facility affiliations
- Alexian Brothers Medical Center 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120829000813 | MO | Practitioner - Anesthesiology | 9931356706 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2012014730 | MO | MD | Anesthesiology Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 2012014730 | MO | Yes |
Addresses
Primary practice location
2100 SE Blue Parkway
Lee Summit, MO 64063
Mailing address
2401 Gillham Rd
Provider Enrollment Department
Kansas City, MO 64108-4619
Phone (816) 701-5200
Other practice location 1
2401 Gillham Rd
Kansas City, MO 64108-4619
Phone (816) 234-3000
Other providers in Lee Summit, MO
All providers in Lee Summit, MO · Anesthesiology Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 5, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.