Individual provider Active NPI

Oleg Odin, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • Anchorage, AK
National Provider Identifier
1851704076
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
23411 Issued in NV
Practice address
4315 Diplomacy Dr
Hospitalist Department
Anchorage, AK 99508-5926
Phone
(907) 729-2354
NPI assigned
Jun 5, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 23411 NV Primary
Internal Medicine Physician 207R00000X ME127698 FL
Internal Medicine Physician 207R00000X 17103C WY
Internal Medicine Physician 207R00000X 23411 NV
Critical Care Medicine (Internal Medicine) Physician 207RC0200X M-2239 GU

Addresses

Primary practice location

4315 Diplomacy Dr
Hospitalist Department
Anchorage, AK 99508-5926

Mailing address

4315 Diplomacy Dr
Hospitalist Department
Anchorage, AK 99508-5926
Phone (907) 563-2662

Other practice location 1

3001 Saint Rose Pkwy
Henderson, NV 89052-3839
Phone (702) 616-5615

Other practice location 2

8280 W Warm Springs Rd
Las Vegas, NV 89113-3612
Phone (702) 492-8614

Other practice location 3

400 S 15th St
Worland, WY 82401-3531
Phone (307) 347-3321

Other practice location 4

201 14th St
Wheatland, WY 82201-3201
Phone (307) 322-3636

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MP, GU, ND, NV, WY6 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
I20160820000075 TX Practitioner - Internal Medicine 5890080550 Reassigns benefits to 1 organization
I20171011000443 MP Practitioner - Internal Medicine 5890080550 Reassigns benefits to 1 organization
I20210114001312 GU Practitioner - Critical Care (Intensivists) 5890080550 Reassigns benefits to 1 organization
I20221024000627 ND Practitioner - Critical Care (Intensivists) 5890080550 Reassigns benefits to 4 organizations
I20230509000309 NV Practitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 5890080550 Reassigns benefits to 2 organizations
I20240913000169 WY Practitioner - Internal Medicine 5890080550 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rural Physicians Group-Pannu PLLCGroup PAC ID 0345467486, 141 clinicians
Dignity Health Medical Group Nevada LLCGroup PAC ID 1254571896, 127 clinicians

Practice addresses (Care Compare)

201 14TH St
Wheatland, WY 82201-3201
Phone (303) 390-1926

8689 W Charleston Blvd
Suite 105
Las Vegas, NV 89117-5485
Phone (702) 304-5900

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME127698FLMDInternal Medicine Physician
M-2239GUMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Innovis Health, LLC Current Accepting new patients
Commonwealth Healthcare Corporation CurrentSince Aug 7, 2017 Accepting new patients
Commonwealth Healthcare Corporation CurrentSince Aug 7, 2017 Accepting new patients
Mercy Hospital of Devils Lake CurrentSince Oct 31, 2022 Accepting new patients
Dignity Health Medical Group Nevada, LLC CurrentSince Aug 1, 2025 Accepting new patients
South East Alaska Regional Health Consortium CurrentSince Apr 23, 2024 Accepting new patients
Innovis Health LLC CurrentSince Jul 11, 2024 Accepting new patients
Mercy Hospital of Devils Lake CurrentSince Oct 31, 2022 Accepting new patients
Mercy Hospital of Devils Lake Current Accepting new patients
St. Alexius Medical Center CurrentSince Apr 19, 2023 Accepting new patients
Innovis Health, LLC. CurrentSince Jul 11, 2024 Accepting new patients
St Alexius Medical Center CurrentSince Apr 19, 2023 Accepting new patients
Usacs Integrated Acute Care Services of Nevada Bagnoli P C Critical Care Medicine CurrentSince Apr 23, 2023 Accepting new patients
Guam Healthcare Development Incorporated CurrentSince Dec 15, 2020 Accepting new patients
Rural Physicians Group-Pannu PLLC Internal Medicine CurrentSince Sep 3, 2024 Accepting new patients
Southeast Alaska Regional Health Consortium Current Accepting new patients
Southeast Alaska Regional Health Consortium CurrentSince Apr 23, 2024 Accepting new patients

Locations

3100 Channel Dr
Ste 300
Juneau, AK 99801
Phone (907) 463-4000

222 Tongass Dr
Sitka, AK 99835
Phone (907) 966-8423

5575 Dtc Pkwy
Ste 225
Greenwood Village, CO 80111

133 Route 3
Dededo, GU 96929
Phone (671) 645-5500

3290 Solutions Ctr
Chicago, IL 60677

900 E Broadway Ave
Bismarck, ND 58501
Phone (701) 530-7300

1031 7th St NE
Devils Lake, ND 58301
Phone (701) 662-2131

3000 32nd Ave S
Fargo, ND 58103
Phone (701) 364-3000

1600 Medical Pkwy
Carson City, NV 89703
Phone (775) 220-9149

3001 Saint Rose Pkwy
Henderson, NV 89052
Phone (702) 615-5000

8689 W Charleston Blvd
Ste 105
Las Vegas, NV 89117
Phone (702) 304-5900

8280 W Warm Springs Rd
Las Vegas, NV 89113
Phone (702) 458-5099

201 14th St
Wheatland, WY 82201
Phone (307) 322-3636

400 S 15th St
Worland, WY 82401
Phone (307) 347-3221

Interoperability endpoints

  • Direct secure messaging: oodin637433@direct.med.utah.edu

Organizations & group practices 17

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 17

Hospital & facility affiliations 3

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": "1401926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1851704076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4315 DIPLOMACY DR",
            "address_2": "HOSPITALIST DEPARTMENT",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085926",
            "telephone_number": "907-563-2662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4315 DIPLOMACY DR",
            "address_2": "HOSPITALIST DEPARTMENT",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085926",
            "telephone_number": "907-729-2354"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3001 Saint Rose Pkwy",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890523839",
            "country_code": "US",
            "telephone_number": "702-616-5615",
            "fax_number": "702-616-5120",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8280 W Warm Springs Rd",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891133612",
            "country_code": "US",
            "telephone_number": "702-492-8614",
            "fax_number": "702-492-8163",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 S 15th St",
            "address_purpose": "LOCATION",
            "city": "Worland",
            "state": "WY",
            "postal_code": "824013531",
            "country_code": "US",
            "telephone_number": "307-347-3321",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 14th St",
            "address_purpose": "LOCATION",
            "city": "Wheatland",
            "state": "WY",
            "postal_code": "822013201",
            "country_code": "US",
            "telephone_number": "307-322-3636",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ODIN",
        "first_name": "OLEG",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-05",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NV",
            "license": "23411",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME127698",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WY",
            "license": "17103C",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "23411",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "GU",
            "license": "M-2239",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.