Individual provider Active NPI

Steve O Odeh, M.D

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Bremen, GA
National Provider Identifier
1801940200
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
ME79858 Issued in GA
Practice address
509 Alabama Ave S
Bremen, GA 30110-2007
Phone
(770) 537-5555
Fax
(770) 537-0548
NPI assigned
Jan 22, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X ME79858 FL
General Practice Physician 208D00000X ME79858 FL
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X ME79858 GA Primary

Addresses

Primary practice location

509 Alabama Ave S
Bremen, GA 30110-2007

Mailing address

509 Alabama Ave S
Bremen, GA 30110-2007
Phone (770) 537-5555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, GA, FL, NJ, PA6 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 6

Enrollment IDStateProvider typePAC IDDetails
I20040723000008 NY Practitioner - Vascular SurgeryPractitioner - General SurgeryPractitioner - Thoracic Surgery 8820078553 Reassigns benefits to 6 organizations
I20160425001794 GA Practitioner - General PracticePractitioner - Thoracic Surgery 8820078553 Reassigns benefits to 2 organizations
I20221111000026 FL Practitioner - General PracticePractitioner - Thoracic SurgeryPractitioner - General Surgery 8820078553 Reassigns benefits to 6 organizations
I20240128000032 NJ Practitioner - Vascular Surgery 8820078553 Reassigns benefits to 3 organizations
I20240530002876 PA Practitioner - Thoracic SurgeryPractitioner - Vascular Surgery 8820078553 Reassigns benefits to 1 organization
I20251126001917 GA Practitioner - Vascular SurgeryPractitioner - Other (Physician) 8820078553 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Thoracic Surgery
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Discover Optimal HealthcareGroup PAC ID 9739334343, 4 clinicians

Practice addresses (Care Compare)

3605 Edgmont Ave
Brookhaven, PA 19015-2862
Phone (610) 876-6180

Merit-based Incentive Payment System (MIPS)

Final score
94.74 of 100Reported as group
Quality
100
Improvement activities
40
Cost
79.88

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal11
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
307653NYMDLicensed Practical Nurse
ME79858FLMDSurgery Physician
ME79858GAMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
000668NYMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sarasota Spine & Sport Chiropractic Clinic General Practice CurrentSince Nov 1, 2022 Accepting new patients
Selano Chiropractic Center Inc CurrentSince May 22, 2022 Accepting new patients
Selano Chiropractic Center, Inc. CurrentSince May 1, 2022 Accepting new patients
American Medical Today P.C. General Practice CurrentSince Jul 1, 2025 Accepting new patients
Heritage Medical Management Group LLC CurrentSince Sep 15, 2025 Accepting new patients
Pelham Pkwy Medical of New York LLC CurrentSince Aug 6, 2021 Accepting new patients
Magnolia Rehabilitation Services Inc CurrentSince May 29, 2025 Accepting new patients
Essential Medical Center CurrentSince Oct 13, 2025 Accepting new patients
Discover Optimal Healthcare CurrentSince Jul 22, 2025 Accepting new patients
Heart and Health PLLC CurrentSince Sep 15, 2024 Accepting new patients
Cardiovascular Specialists of South Florida CurrentSince Sep 14, 2024 Accepting new patients
Sarasota Spine & Sport Chiropractic Clinic CurrentSince Nov 1, 2022 Accepting new patients
Vantage Medical Associates PC CurrentSince Jul 1, 2024 Accepting new patients
Arles Perdomo MD PA General Practice CurrentSince Aug 14, 2025 Accepting new patients
Connect Health Information Network Corporation CurrentSince Jul 14, 2025 Accepting new patients
Vitality Ageless Center LLC CurrentSince Aug 1, 2024 Accepting new patients
Heritage Medical Services LLC Past Accepting new patients
Washington Heights Medical of New York LLC Thoracic Surgery (Cardiothoracic Vascular Surgery) Past Accepting new patients
Neighborhood Medical Care PC Past Accepting new patients
Dr. Oluyemi O Badero, Physician, P.C. Past Accepting new patients
Fordham Medical of New York LLC Past Accepting new patients

Locations (25 of 29)

10650 W State Road 84
Ste 104
Davie, FL 33324
Phone (954) 382-1550

777 E 25th St
Ste 502
Hialeah, FL 33013
Phone (305) 836-7377

1926 10th Ave N
Ste 405
Lake Worth Beach, FL 33461
Phone (844) 487-8346

250 NW 183rd St
Miami Gardens, FL 33169
Phone (305) 655-0702

555 W Granada Blvd
Ste E2
Ormond Beach, FL 32174
Phone (386) 235-6136

601 N Flamingo Rd
Ste 305
Pembroke Pnes, FL 33028
Phone (954) 382-1550

3900 Clark Rd
Ste H1
Sarasota, FL 34233
Phone (941) 926-1600

721 S Colorado Ave
Stuart, FL 34994
Phone (772) 888-2545

777 Cleveland Ave SW
Atlanta, GA 30315
Phone (404) 755-2291

509 Alabama Ave S
Bremen, GA 30110
Phone (770) 537-5555

507 Alabama Ave S
Bremen, GA 30110
Phone (770) 537-3303

1300 Peachtree Industrial Blvd
Ste 1201
Suwanee, GA 30024
Phone (770) 614-6266

304 Wainwright Dr
Ste 120
Northbrook, IL 60062

680 Broadway
Ste 68
Paterson, NJ 07514
Phone (318) 840-9074

2157 White Plains Rd
Ste B
Bronx, NY 10462

3839 Flatlands Ave
Brooklyn, NY 11234
Phone (718) 252-1117

474 Ovington Ave
Ste Ll
Brooklyn, NY 11209
Phone (718) 238-2625

527 Coney Island Ave
Frnt 1
Brooklyn, NY 11218
Phone (718) 306-5025

1460 S Park Ave
Buffalo, NY 14220
Phone (480) 581-1101

1612 Central Ave
Ste 201
Far Rockaway, NY 11691
Phone (516) 792-1600

960 Wheeler Rd
Unit 5128
Hauppauge, NY 11788
Phone (516) 592-1579

350 Jericho Tpke
Ste 312
Jericho, NY 11753
Phone (646) 673-5067

1 Center Ln
Levittown, NY 11756
Phone (516) 454-6060

6175 Sunrise Hwy
Massapequa, NY 11758
Phone (516) 504-2100

281 Middle Country Rd
Middle Island, NY 11953
Phone (631) 345-6670

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BFAJAA
  • Direct secure messaging: steve.odeh.1@20200.direct.athenahealth.com

Organizations & group practices 24

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.

View all 24

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755129600000",
    "number": "1801940200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 ALABAMA AVE S",
            "city": "BREMEN",
            "state": "GA",
            "postal_code": "301102007",
            "telephone_number": "770-537-5555",
            "fax_number": "770-537-0548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 ALABAMA AVE S",
            "city": "BREMEN",
            "state": "GA",
            "postal_code": "301102007",
            "telephone_number": "770-537-5555",
            "fax_number": "770-537-0548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODEH",
        "first_name": "STEVE",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME79858",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME79858",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "GA",
            "license": "ME79858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bremen, GA

Sources for this page

Verify at the official NPI Registry.