DR. BARBARA ODAC MD
NPI 1053061663
Student in an Organized Health Care Education/Training Program in Bridgeport, CT

Active since March 25, 2022PECOS EnrolledAccepts Medicare Assignment
267 GRANT ST, MED ED PODIUM 4, BRIDGEPORT, CT 06610(203) 384-4442 Get Directions Write a Review

NPPES record last updated: June 17, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Barbara Odac Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BARBARA ODAC MD (NPI 1053061663) is an individual student in an organized health care education/training program in Bridgeport, Connecticut, licensed in Connecticut (82943) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1053061663
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. BARBARA ODACCredential: MD
Location Address267 GRANT ST, MED ED PODIUM 4Bridgeport, CT 06610-2870
Mailing Address267 Grant StBridgeport, CT 06610-2870
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 25, 2022
Last NPPES UpdateJune 17, 2026
NPPES CertifiedJune 17, 2026
✔ NPI 1053061663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License✔ Licensed in CT · 82943
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
267 GRANT ST, MED ED PODIUM 4, Bridgeport, CT 06610

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Barbara Odac Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID42717035
PECOS Enrollment IDI20251007002221
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Barbara Odac reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Thoracic Surgery (Cardiothoracic Vascular Surgery)
67 MAPLE AVE, 2ND FLOOR
Derby, CT 06418
  • Reassigned Medicare billing, Connecticut enrollment
  • 190 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
267 GRANT ST, MED ED PODIUM 4
BRIDGEPORT, CT 06610
Student in an Organized Health Care Education/Training Program
267 GRANT ST, MED ED PODIUM 4
BRIDGEPORT, CT 06610

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Barbara Odac's NPI number?

The NPI number for Barbara Odac is 1053061663. It was assigned to this individual provider in the NPPES registry on March 25, 2022.

Where is Barbara Odac located?

Barbara Odac practices at 267 Grant St, Med Ed Podium 4, Bridgeport, CT 06610. The listed phone number is (203) 384-4442.

What is Barbara Odac's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Barbara Odac enrolled in Medicare?

Yes. Barbara Odac is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Barbara Odac's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Barbara Odac reassigns Medicare benefits to Griffin Faculty Physicians, Inc. (Derby, CT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Barbara Odac's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Barbara Odac was last updated on June 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.