Individual provider Active NPI

Olutunde O Odeyemi, MD

  • Internal Medicine Physician
  • Harrisburg, PA
National Provider Identifier
1730100397
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD429371 Issued in PA
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, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 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 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

IdentifierTypeStateIssuer
101773272MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address oodeyemi188984@upmc.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 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
I20061214000012 PA Practitioner - HospitalistPractitioner - Internal Medicine 3476552720 Reassigns benefits to 7 organizations
I20190627000941 NJ Practitioner - Internal Medicine 3476552720 Reassigns benefits to 1 organization

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 Associates Medical GroupGroup PAC ID 5890703177, 1,412 clinicians
Pennsylvania HM Associates, PCGroup PAC ID 0547404337, 31 clinicians

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

OrganizationSpecialtyStatusNew patients
Pinnacle Health Hospitalist Services LLC Internal Medicine CurrentSince Sep 17, 2014 Accepting new patients
Geisinger-HM Joint Venture, LLC CurrentSince Feb 20, 2023 Accepting new patients
Geisinger-HM Joint Venture, LLC Current Accepting new patients
Geisinger Clinic CurrentSince Feb 20, 2023 Accepting new patients
University of Pittsburgh Physicians CurrentSince Sep 25, 2023 Accepting new patients
SNP Direct Paths LLC CurrentSince May 18, 2025 Accepting new patients
Hunter Health Inc Internal Medicine CurrentSince May 14, 2025 Accepting new patients
Hunter Medical Inc Internal Medicine Current Accepting new patients
Geisinger Clinic Current Accepting new patients
Practice Associates Medical Group Internal Medicine CurrentSince May 14, 2019 Accepting new patients
Geisinger Clinic CurrentSince Feb 20, 2023 Accepting new patients
Apogee Medical Group of Pennsylvania PC Internal Medicine CurrentSince Oct 21, 2012 Accepting new patients
University of Pittsburgh Physicians CurrentSince Sep 25, 2023 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
Apogee Medical Group of Pennsylvania PC Internal Medicine CurrentSince Oct 21, 2012 Accepting new patients
Pennsylvania HM Associates PC CurrentSince Aug 1, 2013 Accepting new patients
Geisinger-HM Joint Venture LLC Internal Medicine CurrentSince Feb 20, 2023 Accepting new patients
Incare LLC Internal Medicine Past Accepting new patients
Lehigh Valley Hospital Pocono Past Accepting new patients
Diamond Healthcare at Stroud LLC PastSince Dec 1, 2024 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

  • Direct secure messaging: 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.

FacilityTypeRoleSince
Sapphire Care and Rehab CenterEast Stroudsburg, PA, CCN 395288 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.

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.

View all 21

Hospital & facility affiliations 11

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": "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

Sources for this page

Verify at the official NPI Registry.