Individual provider Active NPI

Erwin Lanier Odongo

  • Internal Medicine Physician
  • Rehoboth Beach, DE
National Provider Identifier
1639759848
Registry record updated Sep 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
C1-0029897 Issued in DE
Practice address
18742 Coastal Hwy Ste B
Rehoboth Beach, DE 19971-6149
Phone
(302) 703-3980
Fax
(302) 703-3990
NPI assigned
Apr 12, 2021
Last updated
Sep 18, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2026

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 C1-0029897 DE Primary

Addresses

Primary practice location

18742 Coastal Hwy Ste B
Rehoboth Beach, DE 19971-6149

Mailing address

18742 Coastal Hwy Ste B
Rehoboth Beach, DE 19971-6149
Phone (302) 703-3980

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1618185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789689600000",
    "number": "1639759848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18742 COASTAL HWY STE B",
            "city": "REHOBOTH BEACH",
            "state": "DE",
            "postal_code": "199716149",
            "telephone_number": "302-703-3980",
            "fax_number": "302-703-3990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18742 COASTAL HWY STE B",
            "city": "REHOBOTH BEACH",
            "state": "DE",
            "postal_code": "199716149",
            "telephone_number": "302-703-3980",
            "fax_number": "302-703-3990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODONGO",
        "first_name": "ERWIN",
        "middle_name": "LANIER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-12",
        "last_updated": "2026-09-18",
        "certification_date": "2026-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "DE",
            "license": "C1-0029897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rehoboth Beach, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2026; 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.