Active NPI
Isaac A Odudu, MD
- Pediatrics Physician
- Mandeville, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 13224R
- Practice address
- 639 Lotus Dr N
Suite B
Mandeville, LA 70471-2926 - Phone
- (985) 626-6133
- Fax
- (985) 626-6136
- NPI assigned
- Sep 16, 2006
- Last updated
- Aug 19, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 13224R | LA | Primary |
Addresses
Primary practice location
639 Lotus Dr N
Suite B
Mandeville, LA 70471-2926
Mailing address
208 Ridgewood Blvd
Alexandria, LA 71303-3320
Phone (318) 483-6571
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558346 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1020 W Fertita Blvd
Leesville, LA 71446-4645
Phone (337) 239-5278
207 Jefferson St
Mansfield, LA 71052-2603
Phone (318) 872-0821
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 60.66 of 100
- Quality
- 26.46
- Improvement activities
- 40
- Cost
- 80.85
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.62 of 100
- Quality
- 70.88
- Improvement activities
- 40
- Cost
- 75.82
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
Locations
323 W Walnut Ave
Bastrop, LA 71220
Phone (318) 283-3600
210 Champagne Blvd
Breaux Bridge, LA 70517
Phone (337) 332-2178
427 Evergreen St
Bunkie, LA 71322
Phone (318) 346-6681
229 Saint John Ln
Covington, LA 70433
Phone (866) 875-9225
301 Memorial Dr
Donaldsonvlle, LA 70346
Phone (225) 473-7931
1700 EE Wallace Blvd N
Ferriday, LA 71334
Phone (318) 281-2448
1020 W Fertitta Blvd
Leesville, LA 71446
Phone (337) 239-5278
207 Jefferson St
Mansfield, LA 71052
Phone (318) 871-3109
240 Highland Dr
Many, LA 71449
Phone (318) 256-5691
3223 8th St
Metairie, LA 70002
Phone (504) 833-7770
2202 False River Dr
New Roads, LA 70760
Phone (225) 638-5702
6569 Highway 84
Ridgecrest, LA 71334
Phone 3187576551605
401 E Vaughn Ave
Ruston, LA 71270
Phone (318) 254-2100
900 Johnson St
Tallulah, LA 71282
Phone (318) 395-2241
2106 Loop Rd
Winnsboro, LA 71295
Phone (318) 282-8482
Organizations & group practices 16
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.
-
- Emergency Medicine Physician
- Many, LA
- NPI 1477590974
-
- Emergency Medicine Physician
- Leesville, LA
- NPI 1235693847
-
- Emergency Medical Services (Emergency Medicine) Physician
- Metairie, LA
- NPI 1710903059
-
- Emergency Medicine Physician
- Covington, LA
- NPI 1215987441
-
- Emergency Medicine Physician
- Ferriday, LA
- NPI 1346900560
-
- Critical Access Hospital
- Bunkie, LA
- NPI 1316157845
-
- Emergency Medicine Physician
- Ferriday, LA
- NPI 1215704754
-
dba Northern Louisiana Physicians LLP
- Emergency Medicine Physician
- Ruston, LA
- NPI 1588828172
-
- Emergency Medicine Physician
- Breaux Bridge, LA
- NPI 1710231774
-
- Rural Health Clinic/Center
- Bunkie, LA
- NPI 1811942279
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Trinity Medical
- Critical Access Hospital
- Ferriday, LA
- NPI 1144227935
-
- Critical Access Hospital
- Bunkie, LA
- NPI 1710932470
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282176000000",
"number": "1780780528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "208 RIDGEWOOD BLVD",
"city": "ALEXANDRIA",
"state": "LA",
"postal_code": "713033320",
"telephone_number": "318-483-6571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "639 LOTUS DR N",
"address_2": "SUITE B",
"city": "MANDEVILLE",
"state": "LA",
"postal_code": "704712926",
"telephone_number": "985-626-6133",
"fax_number": "985-626-6136"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ODUDU",
"first_name": "ISAAC",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-16",
"last_updated": "2010-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "LA",
"license": "13224R",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1558346",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mandeville, LA
- Ochsner Clinic LLC (Ochsner Health Center - Mandeville)
- Ochsner Clinic LLC (Ochsner After Hours and Urgent Care - Mandeville)
- Marcus M Ocmond, BS
- Troy Ocmond
- Ashlyn Oddo
- Melissa G Ogden, CCC-SLP
- Oh Project- Southshore (Ohana Healthcare)
- Oh Project-Lafayette (Ohana Healthcare)
- Scott P Oliphant, D.C.
- Oliver Wendall Whitney a Professional Optometry Corp (Apoc)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2010; 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.