MICHELLE ODETTE MD
NPI 1114424983
Pediatrics in San Francisco, CA

Q: What is Michelle Odette's NPI number?

The NPI number for Michelle Odette is 1114424983. It was assigned to this individual provider in the NPPES registry on April 9, 2018.

Q: What is Michelle Odette'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 Michelle Odette was last updated on February 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since April 09, 2018PECOS EnrolledAccepts Medicare Assignment

1975 4TH ST, SAN FRANCISCO, CA 94143(415) 502-2606 Get Directions Write a Review

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

Record update history: Feb 5, 2025, Apr 15, 2018 (2 updates tracked since 2018).

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About Michelle Odette Md NPPES

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

MICHELLE ODETTE MD (NPI 1114424983) is an individual pediatrics provider in San Francisco, California, licensed in California (A165075) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Sacramento, and is a graduate of Eastern Virginia Medical School (2018).

NPPES Registry Identity

NPI1114424983

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameMICHELLE ODETTECredential: MD

Location Address1975 4TH STSan Francisco, CA 94143-2351

Mailing Address1975 4th StSan Francisco, CA 94143-2351 · (415) 502-2606

Phone(415) 502-2606

Sole ProprietorNo

Medical School CMSEastern Virginia Medical SchoolGraduated 2018

Enumeration DateApril 9, 2018

Last NPPES UpdateFebruary 5, 20252 updates tracked since enumeration

NPPES CertifiedFebruary 5, 2025

✔ NPI 1114424983 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in CA · A165075

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.

1975 4TH ST, San Francisco, CA 94143

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Secondary Practice Location 1

Location 12516 Stockton BlvdSacramento, CA 95817-2208 · Phone (916) 734-2428

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

Michelle Odette 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 ID3375949241

PECOS Enrollment IDI20240911001345

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94143 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

$104.51 typical visit price

range $69.00 – $202.35

Typical copayment $26.12 (range $17.25 – $50.58)

Most-billed visit code 99203

Established Patient

$119.48 typical visit price

range $23.44 – $166.46

Typical copayment $29.87 (range $5.86 – $41.61)

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 20

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

DR. ABBEY CORIN LEA DPT

Physical Therapist