Active NPI
Angela Ifeoma Odezulu, D.O.
- Cardiovascular Disease Physician
- Pensacola, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- OS17328
- 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, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 108793400 | Medicaid | FL | |
| 1952588055 | Medicaid | IL | |
| 1952588055 | Medicaid | MO | |
| NA188 | Other | FL | FL MEDICARE |
Other names 1
- Dr. Angela Ifeoma Njoku
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- 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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health System Corporation | Current | Accepting new patients | |
| West Florida Cardiology Physicians, LLC | Cardiovascular Disease | Current | Accepting new patients |
| Mercy Health System Corporation | Current | Accepting new patients | |
| Mercy Health System Corporation | Current | 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
- 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.
-
- Cardiovascular Disease Physician
- Pensacola, FL
- NPI 1346503398
-
dba MHS Physician Services
- Multi-Specialty Clinic/Center
- Janesville, WI
- NPI 1598718603
-
dba Mercy Hospital Janesville
- General Acute Care Hospital
- Janesville, WI
- NPI 1093768962
-
dba Mercy Walworth Hospital and Medical Center
- Critical Access Hospital
- Lake Geneva, WI
- NPI 1699728550
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1194779579
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pensacola, FL
- NPI 1700979465
-
dba HCA Florida Fort Walton-Destin Hospital
- General Acute Care Hospital
- Fort Walton Beach, FL
- NPI 1639128820
-
dba Ascension Sacred Heart Pensacola
- General Acute Care Hospital
- Pensacola, FL
- NPI 1922032424
-
dba HCA Florida West Hospital
- General Acute Care Hospital
- Pensacola, FL
- NPI 1639116726
-
dba Atmore Community Hospital
- Rural Acute Care Hospital
- Atmore, AL
- NPI 1124073879
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
- Occupational Health Centers of the Southwest P.a. (Concentra Medical Center)
- Ocean Wounds FL PLLC
- Ochsner 65 Plus Pensacola - University, L.L.C. (Ochsner 65 Plus- Bellview)
- Ochsner 65 Plus Pensacola - University, L.L.C. (Ochsner 65 Plus - University)
- Mark Odell, LMHC
- Amy N. Odom, DPT
- Katelyn Marie Odom, LMHC
- Helen M Odonnell, MD
- Sydney Odonnell
- Joy Denise Oduma, MS, RD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2023; 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.