OLATUBOSUN ODUSI MD – NPI #1972598084
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

OLATUBOSUN ODUSI is a physician located in WOODSTOCK, IL. NPPES has assigned the NPI number 1972598084 to OLATUBOSUN ODUSI on September 14, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was previously updated about 2 years ago on Mar 14, 2024. 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 OLATUBOSUN ODUSI below.

NPI Profile for
OLATUBOSUN ODUSI

NPI Number
1972598084
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
OLATUBOSUN ODUSI
Credentials
MD
Primary location
3707 DOTY RD STE H
WOODSTOCK, IL 60098-7530
Phone: (815) 206-2800 Fax: (815) 337-5491
1 Other location(s):
4802 10th Ave
Brooklyn, NY 11219-2844
Phone: (718) 283-7500
Fax: (718) 635-7235
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
Mar 14, 2024

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 OLATUBOSUN ODUSI

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.

See identifiers
DescriptionIssuerStateIdentifier
otherAETNA PPONY7440270
otherAETNA USHC PPONY2592835
otherAFFINITY HEALTHNY1000006625
otherAMERICHOICENY0100713-02
otherATLANTIS HEALTH PLANNYOO6736
otherEMPIRE BCBSNY1R0921
otherGHINY2697890
otherHEALTH FIRSTNY216736-A15
otherHEALTH NETNY2C9466
otherHEALTH PLUSNY112940201
otherHIPNY216736
otherOXFORD HEALTH PLANNYP2164401
otherUNITED HEALTH CARENY2031247
medicaidNY02112912
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
208000000X
- Pediatrics (Primary)
NY 216736

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

Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices

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?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

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.