OTITODILICHUKWU KELVIN OSADEBE DO
NPI 1063086023
Internal Medicine in Lancaster, PA

Q: What is Otitodilichukwu Osadebe's NPI number?

The NPI number for Otitodilichukwu Osadebe is 1063086023. It was assigned to this individual provider in the NPPES registry on May 14, 2021.

Q: What is Otitodilichukwu Osadebe's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since May 14, 2021PECOS EnrolledAccepts Medicare Assignment

2160 STATE RD, LANCASTER, PA 17601(223) 287-9000 Get Directions Write a Review

NPPES record last updated: June 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 5, 2025, May 14, 2021 (2 updates tracked since 2021).

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About Otitodilichukwu Kelvin Osadebe Do NPPES

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

OTITODILICHUKWU KELVIN OSADEBE DO (NPI 1063086023) is an individual internal medicine provider in Lancaster, Pennsylvania, licensed in Pennsylvania (OS024846) and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS, is affiliated with Milton S Hershey Medical Center, and maintains a secondary practice location in Vineland.

NPPES Registry Identity

NPI1063086023

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameOTITODILICHUKWU KELVIN OSADEBECredential: DO

Location Address2160 STATE RDLancaster, PA 17601-1812

Mailing Address1505 W Sherman AveVineland, NJ 08360-7059 · (973) 842-6076

Phone(223) 287-9000

Sole ProprietorYes

Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2021

Enumeration DateMay 14, 2021

Last NPPES UpdateJune 5, 20252 updates tracked since enumeration

NPPES CertifiedJune 5, 2025

✔ NPI 1063086023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in PA · OS024846

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

2160 STATE RD, Lancaster, PA 17601

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Secondary Practice Location 1

Location 11505 W Sherman AveVineland, NJ 08360-7059 · Phone (973) 842-6076

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Otitodilichukwu Kelvin Osadebe Do 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 ID4688183478

PECOS Enrollment IDI20250603002492

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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Milton S Hershey Medical Center

Acute Care Hospitals · Hershey, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390256

Location500 University DriveHershey, PA 17033 · Dauphin County

Emergency services Birthing friendly

Penn State Health Lancaster Medical Center

Acute Care Hospitals · Lancaster, PA

OwnershipVoluntary non-profit - Private

CMS Certification Number390339

Location2160 State RoadLancaster, PA 17601 · Lancaster County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17601 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$126.34 typical visit price

range $54.64 – $166.87

Typical copayment $31.58 (range $13.66 – $41.71)

Most-billed visit code 99204

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 20

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

PENN STATE HEALTH LANCASTER MEDICAL CENTER

General Acute Care Hospital