NPIMap

Individual provider Active NPI

Bismarck Christian Odei, MD

  • Radiation Oncology Physician
  • Salt Lake City, UT
National Provider Identifier
1811415664
Registry record updated Aug 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
RL14688 Issued in ND
Practice address
2000 Circle of Hope Dr Ste 1950
Salt Lake City, UT 84112-5550
Phone
(801) 587-7000
NPI assigned
Aug 31, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X RL14688 ND Primary

Addresses

Primary practice location

2000 Circle of Hope Dr Ste 1950
Salt Lake City, UT 84112-5550

Mailing address

2000 Circle of Hope Dr Ste 1950
Salt Lake City, UT 84112-5550

Other practice location 1

4278 51st St S # Ts
Fargo, ND 58104-3315
Phone (510) 856-6326

Other practice location 2

4278 51st St S
Fargo, ND 58104-3315
Phone (510) 856-6326

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address BODEI175720@DIRECT.MED.UTAH.EDU Direct University of Utah

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, MN2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220822000786 UT Practitioner - Radiation Oncology 7719234509 Reassigns benefits to 1 organization
I20250918003024 MN Practitioner - Radiation Oncology 7719234509 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St. Luke'S Hospital of DuluthGroup PAC ID 7113834839, 409 clinicians
University of Utah Adult ServicesGroup PAC ID 0941525273, 1,758 clinicians

Practice addresses (Care Compare)

1001 E Superior St
Suite 101
Duluth, MN 55802-2227
Phone (218) 249-3081

1950 Circle of Hope Dr
Salt Lake City, UT 84112-5500
Phone (801) 585-2626

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.77 of 100Reported as group
Quality
91.47
Promoting interoperability
100
Improvement activities
40
Cost
74.42

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RL14688NDMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke'S Hospital of Duluth Current Accepting new patients
University of Utah Adult Services CurrentSince Jul 15, 2022 Accepting new patients
University of Utah Adult Services CurrentSince Jul 15, 2022 Accepting new patients
St. Luke'S Hospital of Duluth CurrentSince Aug 1, 2025 Accepting new patients
University of Utah Adult Services Current Accepting new patients
St. Luke'S Hospital of Duluth CurrentSince Aug 1, 2025 Accepting new patients
Bronson Lakeview Hospital Past Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

1001 E Superior St
Ste 101
Duluth, MN 55802
Phone (218) 249-3081

1015 E 1st St
Duluth, MN 55805
Phone (218) 249-7860

165 N University Ave
Farmington, UT 84025
Phone (801) 213-3200

127 S 500 E
Ste 400B
Salt Lake City, UT 84102
Phone (801) 587-6478

1950 Circle of Hope Dr
Slc, UT 84112
Phone (801) 585-0100

50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292

Interoperability endpoints

  • Direct secure messaging: bodei175720@direct.med.utah.edu
  • Direct secure messaging: bodei380178@direct.aspirus.org

Organizations & group practices 7

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.

Hospital & facility affiliations 29

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1504137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1811415664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 CIRCLE OF HOPE DR STE 1950",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841125550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 CIRCLE OF HOPE DR STE 1950",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841125550",
            "telephone_number": "801-587-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4278 51st St S # Ts",
            "address_purpose": "LOCATION",
            "city": "Fargo",
            "state": "ND",
            "postal_code": "581043315",
            "country_code": "US",
            "telephone_number": "510-856-6326",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4278 51st St S",
            "address_purpose": "LOCATION",
            "city": "Fargo",
            "state": "ND",
            "postal_code": "581043315",
            "country_code": "US",
            "telephone_number": "510-856-6326",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ODEI",
        "first_name": "BISMARCK",
        "middle_name": "CHRISTIAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-31",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "ND",
            "license": "RL14688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "BODEI175720@DIRECT.MED.UTAH.EDU",
            "affiliation": "Y",
            "affiliationName": "University of Utah",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "50 N Medical Dr",
            "city": "Salt Lake City",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841320001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.