Individual provider Active NPI

Irene Odeluga, MS RN FNP - BC

  • Family Nurse Practitioner
  • East Chicago, IN
National Provider Identifier
1720405228
Registry record updated Mar 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71004855A Issued in IN
Practice address
915 W Chicago Ave
East Chicago, IN 46312-3308
Phone
(219) 397-6000
Fax
(219) 397-6358
NPI assigned
Mar 21, 2014
Last updated
Mar 21, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71004855A IN Primary

Addresses

Primary practice location

915 W Chicago Ave
East Chicago, IN 46312-3308

Mailing address

915 W Chicago Ave
East Chicago, IN 46312-3308
Phone (219) 397-6000

Other identifiers 1

IdentifierTypeStateIssuer
71004855AOtherINLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, IL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180502000790 IN Practitioner - Nurse Practitioner 2961766738 Reassigns benefits to 2 organizations
I20250902000443 IL Practitioner - Nurse Practitioner 2961766738 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chikare Health Services IncGroup PAC ID 8729311121, 2 clinicians

Practice addresses (Care Compare)

915 W Chicago Ave
East Chicago, IN 46312-3308
Phone (219) 397-6000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Chikare Health Services Inc CurrentSince Oct 1, 2020 Accepting new patients
Matrix Medical Plus CurrentSince Aug 1, 2025 Accepting new patients
Community Care Health Network LLC CurrentSince Sep 1, 2022 Accepting new patients
Chikare Health System PC PastSince Oct 1, 2020 Accepting new patients

Locations

9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883

915 W Chicago Ave
East Chicago, IN 46312
Phone (219) 397-6000

3815 River Crossing Pkwy
Ste 100
Indianapolis, IN 46240
Phone (317) 566-2035

424 Church St
Ste 2600
Nashville, TN 37219
Phone (480) 450-3721

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1395360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395360000000",
    "number": "1720405228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 W CHICAGO AVE",
            "city": "EAST CHICAGO",
            "state": "IN",
            "postal_code": "463123308",
            "telephone_number": "219-397-6000",
            "fax_number": "219-397-6358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 W CHICAGO AVE",
            "city": "EAST CHICAGO",
            "state": "IN",
            "postal_code": "463123308",
            "telephone_number": "219-397-6000",
            "fax_number": "219-397-6358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODELUGA",
        "first_name": "IRENE",
        "credential": "MS RN FNP - BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-21",
        "last_updated": "2014-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71004855A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "71004855A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Chicago, IN

Sources for this page

Verify at the official NPI Registry.