Active NPI
George J. Odell, M.D.
- Vascular & Interventional Radiology Physician
- Annapolis, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- D0047290
- Practice address
- 2002 Medical Pkwy
Suite #235
Annapolis, MD 21401-3046 - Phone
- (410) 266-2770
- Fax
- (410) 841-6251
- NPI assigned
- Oct 31, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular & Interventional Radiology Physician | 2085R0204X | D0047290 | MD | Primary |
| Diagnostic Radiology Physician | 2085R0202X | G74569 | CA |
Addresses
Primary practice location
2002 Medical Pkwy
Suite #235
Annapolis, MD 21401-3046
Mailing address
2002 Medical Pkwy
Suite #235
Annapolis, MD 21401-3046
Phone (410) 266-2770
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2622593 | Other | MD | AETNA HMO/POS |
| 10690005 | Other | MD | BCBS |
| A17 | Other | MD | AAD PG COUNTY |
| 300051935 | Other | MD | TRAVELERS RR MEDICARE |
| 732C | Other | MD | AAD SHIPLEYS |
| 462150600 | Medicaid | MD | |
| 27AN | Other | MD | AAD AA COUNTY |
| 300094986 | Other | MD | SHIPLEYS - RR MEDICARE |
| 8317071 | Other | MD | AETNA PPO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD
- 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
- Diagnostic Radiology
- Education
- University of Tennessee, HSC, College of Medicine, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2000 Medical Pkwy
Suite 202
Annapolis, MD 21401-3742
2001 Medical Pkwy
Annapolis, MD 21401-3773
Phone (410) 266-2770
2002 Medical Pkwy
Annapolis, MD 21401-3046
Phone (443) 481-5330
4175 N Hanson CT
Bowie, MD 20716-3179
Phone (443) 481-3260
8116 Good Luck Rd
Suite 101
Lanham, MD 20706-3513
Phone (443) 481-5335
8118 Good Luck Rd
Lanham, MD 20706-3574
Phone (410) 266-2770
Hospital & facility affiliations
- Luminis Health Anne Arundel Medical Center, Inc
- Luminis Health Doctors Community Medical Ctr, Inc
- University of MD Shore Medical Center at Easton
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G74569 | CA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meritus Medical Center Inc | Diagnostic Radiology | Current | Accepting new patients |
| Luminis Health Imaging, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Brown, Croft, Frazier, PA | Diagnostic Radiology | Current | Accepting new patients |
| Meritus Medical Center Inc | Current | Accepting new patients | |
| Luminis Health Imaging, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Nighttime Radiology LLC | Diagnostic Radiology | Past | Accepting new patients |
| Shipley'S Imaging, LLC | Diagnostic Radiology | Past | Accepting new patients |
Locations
2002 Medical Pkwy
Ste 100
Annapolis, MD 21401
Phone (443) 481-4915
2002 Medical Pkwy
Ste 235
Annapolis, MD 21401
2001 Medical Pkwy
Annapolis, MD 21401
Phone (410) 280-5601
2002 Medical Pkwy
Annapolis, MD 21401
Phone (443) 481-4915
4175 N Hanson Ct
Bowie, MD 20716
Phone (301) 464-0798
4175 N Hanson Ct
Ste 102
Bowie, MD 20716
Phone (301) 464-0798
2108 Red Apple Plz
Chester, MD 21619
Phone (410) 643-6205
11116 Medical Campus Rd
Hagerstown, MD 21742
Phone (301) 766-7600
8118 Good Luck Rd
Lanham Seabrook, MD 20706
Phone (301) 552-8608
8601 Veterans Hwy
Ste 100
Millersville, MD 21108
Phone (410) 729-4450
1106 Annapolis Rd
Ste 110
Odenton, MD 21113
Phone (443) 481-4915
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 and National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Annapolis, MD
- NPI 1366420879
-
- Radiology Clinic/Center
- Bowie, MD
- NPI 1194825240
DC, Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Hagerstown, MD
- NPI 1184477911
-
- Nurse Practitioner
- Hagerstown, MD
- NPI 1205176393
-
- Diagnostic Radiology Physician
- Millersville, MD
- NPI 1861476343
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Clinical Medical Laboratory
- Annapolis, MD
- NPI 1356885032
Hospital
-
- General Acute Care Hospital
- Annapolis, MD
- NPI 1477517225
-
- General Acute Care Hospital
- Lanham, MD
- NPI 1730136532
-
- General Acute Care Hospital
- Cambridge, MD
- NPI 1194784751
-
- General Acute Care Hospital
- Easton, MD
- NPI 1669431219
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316131200000",
"number": "1699766584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2002 MEDICAL PKWY",
"address_2": "SUITE #235",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214013046",
"telephone_number": "410-266-2770",
"fax_number": "410-841-6251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2002 MEDICAL PKWY",
"address_2": "SUITE #235",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214013046",
"telephone_number": "410-266-2770",
"fax_number": "410-841-6251"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ODELL",
"first_name": "GEORGE",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-31",
"last_updated": "2011-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "MD",
"license": "D0047290",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "G74569",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO/POS",
"identifier": "2622593",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "10690005",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AAD PG COUNTY",
"identifier": "A17",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRAVELERS RR MEDICARE",
"identifier": "300051935",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AAD SHIPLEYS",
"identifier": "732C",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "462150600",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AAD AA COUNTY",
"identifier": "27AN",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SHIPLEYS - RR MEDICARE",
"identifier": "300094986",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO",
"identifier": "8317071",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Annapolis, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2011; 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.