Vladimir Odinets, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA8660 Issued in MA

Practice address

399 Boylston St
Boston, MA 02116-3305

Phone

(857) 416-9218

Fax

(617) 691-5274

NPI assigned

Jan 9, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Carbon Health Medical Group of Massachusetts PCGroup PAC ID 3971943606, 30 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Carbon Health Medical Group of Massachusetts PC

  • Multi-Specialty Clinic/Center
  • Boston, MA
  • NPI 1528836897
  Medicare reassignment Care Compare group
• Carbon Health Medical Group of Florida PA

  • Urgent Care Clinic/Center
  • Boston, MA
  • NPI 1881261303
  Medicare reassignment NPD
• CVS Clinic PLLC

  • Family Nurse Practitioner
  • Swampscott, MA
  • NPI 1306623426
  Medicare reassignment NPD
• Carbon Health Primary Care of Florida PA

  • Primary Care Clinic/Center
  • Boston, MA
  • NPI 1912662719
  Medicare reassignment
• Carbon Health Medical Group of Florida PA

  • Urgent Care Clinic/Center
  • Oro Valley, AZ
  • NPI 1396317079
  NPD
• Carbon Health Primary Care of Florida PA

  • Primary Care Clinic/Center
  • Littleton, CO
  • NPI 1518622315
  NPD
• Carbon Health Medical Group of California PC

  • Urgent Care Clinic/Center
  • Berkeley, CA
  • NPI 1417294232
  NPD (past)

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

{
    "created_epoch": "1420761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1871982124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "399 BOYLSTON ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021163305",
            "telephone_number": "574-169-2188",
            "fax_number": "617-691-5274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "399 BOYLSTON ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021163305",
            "telephone_number": "857-416-9218",
            "fax_number": "617-691-5274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODINETS",
        "first_name": "VLADIMIR",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-01-09",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MA",
            "license": "MCS002361J",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PAT",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MA",
            "license": "PA8660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann Odessey, LICSW
• Niyi O Odewade
• Carlea Odige
• Chibuzo Clement Odigwe, MD
• Chinonye Odimegwu
• Augustine Obinna Odinkalu
• Igor Odintsov, MD
• Doris Odion-Ukpebor, RN, NP
• Frank A Odlum, DDS
• Olajumoke Odo, LCSW

• Medical Physician Assistant in Boston, MA
• Providers in Boston, MA by specialty
• Medical Physician Assistant in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; 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.

Verify at the official NPI Registry.