Individual provider Active NPI

Angela Ifeoma Odezulu, D.O.

  • Cardiovascular Disease Physician
  • Pensacola, FL
National Provider Identifier
1952588055
Registry record updated Apr 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
OS17328 Issued in FL
Practice address
8333 N Davis Hwy FL 4
Pensacola, FL 32514-6050
Phone
(850) 969-7979
Fax
(833) 294-3763
NPI assigned
Jan 31, 2008
Last updated
Apr 10, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2010005182 MO
Cardiovascular Disease Physician 207RC0000X LT17046 ME
Cardiovascular Disease Physician 207RC0000X OS17328 FL Primary
Hospitalist Physician 208M00000X 2010005182 MO

Addresses

Primary practice location

8333 N Davis Hwy FL 4
Pensacola, FL 32514-6050

Mailing address

8333 N Davis Hwy FL 4
Pensacola, FL 32514-6050
Phone (850) 969-7979

Other identifiers 4

IdentifierTypeStateIssuer
108793400MedicaidFL
1952588055MedicaidIL
1952588055MedicaidMO
NA188OtherFLFL MEDICARE

Other names 1

  • Dr. Angela Ifeoma Njoku Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, FL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20191209001005 WI Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 3678604360 Reassigns benefits to 1 organization
I20201201000043 FL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 3678604360 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Kansas City University of Physicians and Surgeons, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
West Florida Cardiology Physicians LLCGroup PAC ID 3072760891, 12 clinicians

Practice addresses (Care Compare)

8333 N Davis Hwy
Pensacola, FL 32514-6050
Phone (850) 969-7979

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health System Corporation CurrentSince Nov 4, 2019 Accepting new patients
West Florida Cardiology Physicians, LLC Cardiovascular Disease CurrentSince Feb 22, 2023 Accepting new patients
Mercy Health System Corporation Current Accepting new patients
Mercy Health System Corporation CurrentSince Nov 4, 2019 Accepting new patients
Inpatient Consultants of Missouri Inc Internal Medicine Past Accepting new patients

Locations

1190 E Nine Mile Rd
Pensacola, FL 32514
Phone (850) 474-8771

8333 N Davis Hwy
Fl 4
Pensacola, FL 32514
Phone (850) 474-8610

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

1000 Mineral Point Ave
Janesville, WI 53548
Phone (608) 261-6868

Interoperability endpoints

  • Direct secure messaging: angela.njoku@hca5.eclinicaldirectplus.com

Organizations & group practices 5

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.

Hospital & facility affiliations 5

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": "1201737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681084800000",
    "number": "1952588055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8333 N DAVIS HWY FL 4",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325146050",
            "telephone_number": "850-969-7979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8333 N DAVIS HWY FL 4",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325146050",
            "telephone_number": "850-969-7979",
            "fax_number": "833-294-3763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODEZULU",
        "first_name": "ANGELA",
        "middle_name": "IFEOMA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-31",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2010005182",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "ME",
            "license": "LT17046",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "OS17328",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MO",
            "license": "2010005182",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "108793400",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1952588055",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1952588055",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL MEDICARE",
            "identifier": "NA188",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "NJOKU",
            "middle_name": "IFEOMA",
            "prefix": "DR.",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.