Active NPI
Olutunde O Odeyemi, MD
- Internal Medicine Physician
- Harrisburg, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD429371
- Practice address
- 111 S Front St
Harrisburg, PA 17101-2010 - Phone
- (717) 231-8772
- Fax
- (717) 231-8435
- NPI assigned
- Jul 21, 2006
- Last updated
- Aug 12, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD429371 | PA | Primary |
Addresses
Primary practice location
111 S Front St
Harrisburg, PA 17101-2010
Mailing address
409 S 2ND St Ste 2F
Harrisburg, PA 17104-1612
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101773272 | Medicaid | PA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | oodeyemi188984@upmc.direct-ci.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, NJ
- 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
- Internal Medicine
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Madison Ave
Morristown, NJ 07960-6136
Phone (973) 971-5596
16 Deer TRL
Nesquehoning, PA 18240-2114
Phone (610) 533-3457
175 High St
Newton, NJ 07860-1004
Phone (973) 383-2121
206 E Brown St
Pocono Medical Center
East Stroudsburg, PA 18301-3094
Phone (570) 421-4000
651 Willow Grove St
Hackettstown, NJ 07840-1799
Phone (908) 441-1161
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinnacle Health Hospitalist Services LLC | Internal Medicine | Current | Accepting new patients |
| Geisinger-HM Joint Venture, LLC | Current | Accepting new patients | |
| Geisinger-HM Joint Venture, LLC | Current | Accepting new patients | |
| Geisinger Clinic | Current | Accepting new patients | |
| University of Pittsburgh Physicians | Current | Accepting new patients | |
| SNP Direct Paths LLC | Current | Accepting new patients | |
| Hunter Health Inc | Internal Medicine | Current | Accepting new patients |
| Hunter Medical Inc | Internal Medicine | Current | Accepting new patients |
| Geisinger Clinic | Current | Accepting new patients | |
| Practice Associates Medical Group | Internal Medicine | Current | Accepting new patients |
| Geisinger Clinic | Current | Accepting new patients | |
| Apogee Medical Group of Pennsylvania PC | Internal Medicine | Current | Accepting new patients |
| University of Pittsburgh Physicians | Current | Accepting new patients | |
| University of Pittsburgh Physicians | Current | Accepting new patients | |
| Apogee Medical Group of Pennsylvania PC | Internal Medicine | Current | Accepting new patients |
| Pennsylvania HM Associates PC | Current | Accepting new patients | |
| Geisinger-HM Joint Venture LLC | Internal Medicine | Current | Accepting new patients |
| Incare LLC | Internal Medicine | Past | Accepting new patients |
| Lehigh Valley Hospital Pocono | Past | Accepting new patients | |
| Diamond Healthcare at Stroud LLC | Past | Accepting new patients | |
| Upmc Somerset | Past | Accepting new patients |
Locations
100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210
465 South St
Ste 200
Morristown, NJ 07960
Phone (973) 971-7130
100 N Academy Ave
Danville, PA 17822
206 E Brown St
East Stroudsburg, PA 18301
Phone (570) 420-4951
111 S Front St
Harrisburg, PA 17101
Phone (717) 782-3282
409 S 2nd St
Ste 2F
Harrisburg, PA 17104
Phone (717) 231-8049
1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540
4300 Londonderry Rd
Lower Paxton, PA 17109
Phone (717) 597-7044
10 Choate Cir
Montoursville, PA 17754
Phone (570) 368-5566
255 Route 220 Hwy
Muncy, PA 17756
Phone (570) 308-2600
2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864
200 Lothrop St
Pittsburgh, PA 15213
Phone (412) 647-3553
225 S Center Ave
Somerset, PA 15501
Phone (814) 443-5000
201 Reeceville Rd
West Brandywine, PA 19320
Phone (215) 788-2285
1000 E Mountain Dr
Wilkes Barre, PA 18711
Phone (570) 826-7300
Interoperability endpoints
- oodeyemi188984@upmc.direct-ci.com
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Sapphire Care and Rehab Center | Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Dec 1, 2024 Dec 1, 2024 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba Sapphire Care and Rehab Center
- Skilled Nursing Facility
- East Stroudsburg, PA
- NPI 1730905183
Adp of the SNF, Operational/Managerial Control
Organizations & group practices 21
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.
-
- Hospitalist Physician
- East Stroudsburg, PA
- NPI 1841637865
-
dba Atlantic Medical Group
- Internal Medicine Physician
- Morristown, NJ
- NPI 1427016385
-
- Family Medicine Physician
- Danville, PA
- NPI 1366493868
-
dba Geisinger Medical Clinic Lock Haven
- Family Medicine Physician
- Lock Haven, PA
- NPI 1144876137
-
- Internal Medicine Physician
- Nesquehoning, PA
- NPI 1356138242
-
- Hospitalist Physician
- Harrisburg, PA
- NPI 1023458148
Internal Medicine
-
- Gastroenterology Physician
- Pittsburgh, PA
- NPI 1619935004
-
- Internal Medicine Physician
- Scottsdale, AZ
- NPI 1568633535
PA
-
- Internal Medicine Physician
- Sparta, NJ
- NPI 1366255457
-
- Surgery Physician
- Danville, PA
- NPI 1255382784
-
- Diagnostic Radiology Physician
- Danville, PA
- NPI 1558313023
-
- Internal Medicine Physician
- Muncy, PA
- NPI 1952076119
Hospital & facility affiliations 11
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Sapphire Care and Rehab Center
- Skilled Nursing Facility
- East Stroudsburg, PA
- NPI 1730905183
Nursing home
-
- General Acute Care Hospital
- Allentown, PA
- NPI 1164400131
-
- Psychiatric Hospital Unit
- Bethlehem, PA
- NPI 1609834001
-
- Children's Hospital
- Allentown, PA
- NPI 1952954307
-
- General Acute Care Hospital
- East Stroudsburg, PA
- NPI 1568459436
-
- Rehabilitation Hospital Unit
- East Stroudsburg, PA
- NPI 1780135434
Inpatient rehabilitation facility
-
dba Lehigh Valley Hospital - Dickson City
- General Acute Care Hospital
- Dickson City, PA
- NPI 1396402053
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786492800000",
"number": "1730100397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "409 S 2ND ST STE 2F",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171041612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 S FRONT ST",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171012010",
"telephone_number": "717-231-8772",
"fax_number": "717-231-8435"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ODEYEMI",
"first_name": "OLUTUNDE",
"middle_name": "O",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-21",
"last_updated": "2026-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD429371",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101773272",
"state": "PA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "oodeyemi188984@upmc.direct-ci.com",
"affiliation": "N",
"address_1": "600 Grant St",
"address_2": "Floor 58",
"city": "Pittsburgh",
"state": "PA",
"country_code": "US",
"postal_code": "152192702",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Harrisburg, PA
- Occupational Health Centers of the Southwest P.a. (Concentra Medical Center)
- Occupational Health Centers of the Southwest P.a. (Concentra Medical Centers)
- Occupational Health Centers of the Southwest PA (Concentra Medical Center)
- Oculoplastic Consultants of Central PA
- Sean M Odell, M.ED, PHD
- Marnie Irene Odonnell, PAC
- Amanda Oechler, RN, BSN
- Heather Elizabeth Ofak, RN, BSN
- Olufemi Ogunnaike, RN
- Vicki A Ohler, CRNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.