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OLAMIDE ODUBOGUN M.D.
NPI 1174885834
Pediatrics in Mount Kisco, NY

Active since June 08, 2012PECOS Enrolled
110 S BEDFORD RD, MOUNT KISCO, NY 10549(914) 241-1050 Get Directions Write a Review

NPPES record last updated: June 23, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Olamide Odubogun M.d. NPPES

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

OLAMIDE ODUBOGUN M.D. (NPI 1174885834) is an individual pediatrics provider in Mount Kisco, New York, licensed in New York (297359) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS and maintains a secondary practice location in Lebanon.

NPPES Registry Identity

NPI1174885834
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameOLAMIDE ODUBOGUNCredential: M.D.
Location Address110 S BEDFORD RDMount Kisco, NY 10549-3446
Mailing AddressPo Box 300Lebanon, PA 17042-0300 · (717) 270-7780 · Fax (717) 274-9746
Phone(914) 241-1050
Sole ProprietorNo
Enumeration DateJune 8, 2012
Last NPPES UpdateJune 23, 2026
NPPES CertifiedJune 23, 2026
✔ NPI 1174885834 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NY · 297359
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
110 S BEDFORD RD, Mount Kisco, NY 10549
Open in Google Maps ↗

Secondary Practice Location 1

Location 1618 Cornwall Rd, Building 2Lebanon, PA 17042-7089 · Phone (717) 279-6700 · Fax (717) 279-6759

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Olamide Odubogun M.d. 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 Olamide Odubogun reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Optum Medical Care, P.C.
4.4 mi
Cardiovascular Disease
90 SOUTH BEDFORD RD, MT KISCO MEDICAL GROUP PC
Mount Kisco, NY 10549
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Optum Medical Care PC
  • 1,601 clinicians in this Medicare group
NPI 1982643003 (914) 241-1050

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 10549 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

JACLYN M SYLVIA PA-C
Physician Assistant
110 S BEDFORD RD
MOUNT KISCO, NY 10549
Westchester County (914) 241-1050
MARIA PENCE MD
Surgery
110 S BEDFORD RD, MOUNT KISCO MEDICAL GROUP, PC
MOUNT KISCO, NY 10549
Westchester County (914) 241-1050
LAUREN HOLZER
Physician Assistant (Surgical)
110 S BEDFORD RD
MOUNT KISCO, NY 10549
Westchester County (914) 241-1050
JACLYN ALPERT
Audiologist
110 S BEDFORD RD
MOUNT KISCO, NY 10549
Westchester County (914) 241-1050
STEPHANIE SAYEGH O.D.
Optometrist
110 S BEDFORD RD
MOUNT KISCO, NY 10549
Westchester County (914) 241-1050
ELLIOT B BARSH MD
Pediatrics
110 S BEDFORD RD, CARE MOUNT MEDICAL PC
MOUNT KISCO, NY 10549
Westchester County (914) 241-1050
DEBORAH L BENZIL MD
Neurological Surgery
110 S BEDFORD RD, CARE MOUNT MEDICAL PC
MOUNT KISCO, NY 10549
Westchester County (914) 241-1050
DR. JAMES PHILIP BATTISTA MD
Psychiatry & Neurology (Neurology)
110 S BEDFORD RD
MOUNT KISCO, NY 10549
Westchester County (914) 242-1485

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 Olamide Odubogun's NPI number?

The NPI number for Olamide Odubogun is 1174885834. It was assigned to this individual provider in the NPPES registry on June 8, 2012.

Where is Olamide Odubogun located?

Olamide Odubogun practices at 110 S Bedford Rd, Mount Kisco, NY 10549. The listed phone number is (914) 241-1050.

What is Olamide Odubogun's specialty?

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

Is Olamide Odubogun enrolled in Medicare?

Yes. Olamide Odubogun is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Olamide Odubogun's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Olamide Odubogun reassigns Medicare benefits to Optum Medical Care, P.C. (Mount Kisco, NY). 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 Olamide Odubogun'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 Olamide Odubogun was last updated on June 23, 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.