DR. GABRIELLA ODUDU MD
NPI 1104491752
Pediatrics in Bloomington, CA

Q: What is Gabriella Odudu's NPI number?

The NPI number for Gabriella Odudu is 1104491752. It was assigned to this individual provider in the NPPES registry on May 25, 2021.

Q: What is Gabriella Odudu's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Gabriella Odudu was last updated on August 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.

Active since May 25, 2021PECOS Enrolled

18601 VALLEY BLVD, BLOOMINGTON, CA 92316(909) 546-7560 Get Directions Write a Review

NPPES record last updated: August 14, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 14, 2024, May 25, 2021 (2 updates tracked since 2021).

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About Dr. Gabriella Odudu Md NPPES

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

DR. GABRIELLA ODUDU MD (NPI 1104491752) is an individual pediatrics provider in Bloomington, California, licensed in California (A196863) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104491752

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. GABRIELLA ODUDUCredential: MD

Location Address18601 VALLEY BLVDBloomington, CA 92316-1831

Mailing Address26384 Fowler DrLoma Linda, CA 92354-6579 · (323) 552-3487

Phone(909) 546-7560

Sole ProprietorYes

Enumeration DateMay 25, 2021

Last NPPES UpdateAugust 14, 20242 updates tracked since enumeration

NPPES CertifiedAugust 14, 2024

✔ NPI 1104491752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in CA · A196863

Definition

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.

18601 VALLEY BLVD, Bloomington, CA 92316

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Gabriella Odudu Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Gabriella Odudu reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community Health Systems, Inc.

Same address

Federally Qualified Health Center (FQHC)

18601 VALLEY BLVD
Bloomington, CA 92316

Reassigned Medicare billing, California enrollment
86 clinicians in this Medicare group

NPI 1952308009 (909) 877-1818

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92316 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

$91.88 typical visit price

range $59.60 – $179.42

Typical copayment $22.97 (range $14.90 – $44.85)

Most-billed visit code 99203

Established Patient

$104.64 typical visit price

range $19.37 – $146.42

Typical copayment $26.16 (range $4.84 – $36.60)

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.

Other Providers at the Same Location NPPES 12

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

FAIZA IRAM MD

Pediatrics