HENRY A. ODUKOMAIYA M.D. – NPI #1740254184
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Health Care Provider Taxonomy Code for Family Medicine

HENRY ODUKOMAIYA is a physician located in TAMPA, FL. NPPES has assigned the NPI number 1740254184 to HENRY ODUKOMAIYA on February 14, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 5 years ago on May 27, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for HENRY ODUKOMAIYA below.

NPI Profile for
HENRY A. ODUKOMAIYA

NPI Number
1740254184
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
HENRY A. ODUKOMAIYA
Credentials
M.D.
Primary location
5331 PRIMROSE LAKE CIR STE 112
TAMPA, FL 33647-3764
Phone: (813) 651-1085 Fax:
Mailing address
PO BOX 47535
TAMPA, FL 33646-0113
Phone: (813) 755-0006 Fax: (813) 986-2731
Sole Proprietor
Yes
Updated
Certification Date
May 27, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for HENRY ODUKOMAIYA

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDFL024433500
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)		 FL ME68789

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
HENRY ODUKOMAIYA is affiliated with the following medical group(s):
  • HOME HEALTH AGENCY
    • DIVINE HOME HEALTH CARE INC
      6107 MEMORIAL HWY STE B
      TAMPA, FL 33615
  • NURSING HOME
    • CENTRAL PARK HEALTHCARE AND REHABILITATION CENTER
      702 S KINGS AVE
      BRANDON, FL 33511
    • HAWTHORNE CENTER FOR REHABILITATION AND HEALING OF
      851 WEST LUMSDEN RD
      BRANDON, FL 33511
    • HOME ASSOCIATION, THE
      1203 E 22ND AVE
      TAMPA, FL 33605
    • THE BRISTOL CARE CENTER
      1818 E FLETCHER AVE
      TAMPA, FL 33612
    • WHISPERING OAKS
      1514 E CHELSEA ST
      TAMPA, FL 33610
  • HOSPICE
    • LIFEPATH HOSPICE
      4200 W CYPRESS ST
      TAMPA, FL 33607

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
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Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.