Individual provider Active NPI

George J. Odell, M.D.

  • Vascular & Interventional Radiology Physician
  • Annapolis, MD
National Provider Identifier
1699766584
Registry record updated Sep 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
D0047290 Issued in MD
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

Updated by the provider on Sep 16, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2622593OtherMDAETNA HMO/POS
10690005OtherMDBCBS
A17OtherMDAAD PG COUNTY
300051935OtherMDTRAVELERS RR MEDICARE
732COtherMDAAD SHIPLEYS
462150600MedicaidMD
27ANOtherMDAAD AA COUNTY
300094986OtherMDSHIPLEYS - RR MEDICARE
8317071OtherMDAETNA PPO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20041229000224 DC Practitioner - Diagnostic Radiology 1355309907 Reassigns benefits to 2 organizations
I20050324000240 MD Practitioner - Diagnostic Radiology 1355309907 Reassigns benefits to 2 organizations

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
Luminis Health Imaging, Inc.Group PAC ID 8729054598, 22 clinicians
Brown, Croft, Frazier, PAGroup PAC ID 9537101746, 28 clinicians

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 Hospital, Annapolis, MD, CCN 210023
  • Luminis Health Doctors Community Medical Ctr, Inc Hospital, Lanham, MD, CCN 210051
  • University of MD Shore Medical Center at Easton Hospital, Easton, MD, CCN 210037

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G74569CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Meritus Medical Center Inc Diagnostic Radiology CurrentSince Feb 13, 2025 Accepting new patients
Luminis Health Imaging, Inc. Diagnostic Radiology CurrentSince Sep 1, 1995 Accepting new patients
Brown, Croft, Frazier, PA Diagnostic Radiology CurrentSince Sep 15, 1995 Accepting new patients
Meritus Medical Center Inc Current Accepting new patients
Luminis Health Imaging, Inc. Diagnostic Radiology CurrentSince Sep 1, 1995 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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.