NPIMap

Individual provider Active NPI

Matthew Cody O'Dell, M.D.

  • Diagnostic Radiology Physician
  • Maitland, FL
National Provider Identifier
1891084869
Registry record updated Feb 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME115064 Issued in FL
Practice address
2600 Westhall LN FL 4
Maitland, FL 32751-7102
Phone
(407) 608-8177
NPI assigned
Mar 30, 2011
Last updated
Feb 25, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MT212011 PA
Diagnostic Radiology Physician 2085R0202X MD43832 AL
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X ME115064 FL Primary

Addresses

Primary practice location

2600 Westhall LN FL 4
Maitland, FL 32751-7102

Mailing address

2600 Westhall LN FL 4
Maitland, FL 32751-7102
Phone (407) 608-8177

Other practice location 1

3401 Civic Center Blvd
Division of Radiology
Philadelphia, PA 19104-4319
Phone (215) 590-7000

Other practice location 2

1300 S Montgomery Ave
Sheffield, AL 35660-6334
Phone (256) 381-0400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, AL, KY3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20180622001940 FL Practitioner - Diagnostic Radiology 5890040497 Reassigns benefits to 6 organizations
I20220307001095 AL Practitioner - Diagnostic Radiology 5890040497 Reassigns benefits to 4 organizations
I20260519003415 KY Practitioner - Diagnostic Radiology 5890040497 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Alabama School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Hospital Medical Group IncGroup PAC ID 0042383200, 329 clinicians

Practice addresses (Care Compare)

Muscle Shoals, AL 35661
Phone (407) 200-2355

210 Marie Langdon Dr
Manchester, KY 40962-6388
Phone (606) 598-5104

235 E Princeton St
Suite 100
Orlando, FL 32804-5554
Phone (407) 303-1414

661 E Altamonte Dr
Suite 130
Altamonte Springs, FL 32701-5102
Phone (407) 303-2155

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.99 of 100Reported as group
Quality
100
Improvement activities
40
Cost
79.08

Merit-based Incentive Payment System (MIPS)

Final score
87.68 of 100Reported as group
Quality
85.5
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
91.36 of 100Reported as group
Quality
82.72
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD43832ALMDDiagnostic Radiology Physician
MT212011PAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mori Bean and Brooks Inc Single Specialty CurrentSince Mar 1, 2020 Accepting new patients
Stern, Drake, Isbell & Associates, PA Single Specialty CurrentSince Nov 15, 2023 Accepting new patients
Florida Diagnostic Imaging Center Inc Single Specialty CurrentSince Jul 1, 2021 Accepting new patients
Florida Diagnostic Imaging Center Inc Single Specialty CurrentSince Jun 29, 2021 Accepting new patients
Valley Radiological Associates, P.C. Single Specialty CurrentSince Mar 14, 2022 Accepting new patients
Baycare Outpatient Imaging LLC Diagnostic Radiology CurrentSince Aug 26, 2024 Accepting new patients
Baycare Outpatient Imaging LLC Single Specialty Current Accepting new patients
St Josephs Diagnostic Center LLC Single Specialty Current Accepting new patients
Florida Radiology Imaging at Lake Mary, LLC Single Specialty CurrentSince Jul 2, 2018 Accepting new patients
St Joseph's Diagnostic Center LLC Diagnostic Radiology CurrentSince Dec 19, 2023 Accepting new patients
St Joseph's Diagnostic Center LLC Diagnostic Radiology CurrentSince Dec 19, 2023 Accepting new patients
Tower Imaging LLC Single Specialty Past Accepting new patients

Locations

1300 S Montgomery Ave
Sheffield, AL 35660
Phone (256) 386-4005

18600 Fernview St
Ste 101
Land O Lakes, FL 34638
Phone (813) 692-8010

2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015

235 E Princeton St
Ste 100
Orlando, FL 32804
Phone (407) 303-1414

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

2106 S Lois Ave
Tampa, FL 33629
Phone (813) 844-4200

3001 W Mlk Blvd
Tampa, FL 33607
Phone (813) 361-6778

3003 W Mlk Blvd
Tampa, FL 33607
Phone (813) 357-0630

4516 N Armenia Ave
Tampa, FL 33603
Phone (813) 348-6900

4719 N Habana Ave
Tampa, FL 33614
Phone (813) 874-9769

711 S Dale Mabry Hwy
Tampa, FL 33609
Phone (813) 259-1900

2470 Bloomingdale Ave
Ste 115
Valrico, FL 33596
Phone (727) 281-9479

4501 Bruce B Downs Blvd
Zephyrhills, FL 33544
Phone (813) 870-4000

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: modell4651226@adventhealth.direct-ci.com

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 8

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": "1301443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645747200000",
    "number": "1891084869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 WESTHALL LN FL 4",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327517102",
            "telephone_number": "407-608-8177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 WESTHALL LN FL 4",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327517102",
            "telephone_number": "407-608-8177"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3401 Civic Center Blvd",
            "address_2": "Division of Radiology",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191044319",
            "country_code": "US",
            "telephone_number": "215-590-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1300 S Montgomery Ave",
            "address_purpose": "LOCATION",
            "city": "Sheffield",
            "state": "AL",
            "postal_code": "356606334",
            "country_code": "US",
            "telephone_number": "256-381-0400",
            "fax_number": "256-386-0065",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'DELL",
        "first_name": "MATTHEW",
        "middle_name": "CODY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-03-30",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MT212011",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AL",
            "license": "MD43832",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME115064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maitland, FL

Sources for this page

Verify at the official NPI Registry.