1. Home
  2. Directory
  3. New York
  4. New York New York
  5. Pediatrics
  6. NPI Profile

DR. ELIZABETH KIRBY ODOM MD
NPI 1295297158
Pediatrics in New York, NY

Active since April 01, 2019PECOS Enrolled
2315 BROADWAY FL 3, NEW YORK, NY 10024(646) 962-0160(646) 962-2110 Get Directions Write a Review

NPPES record last updated: June 29, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 9, 2023, Apr 1, 2019 (2 updates tracked since 2019).

About Dr. Elizabeth Kirby Odom Md NPPES

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

DR. ELIZABETH KIRBY ODOM MD (NPI 1295297158) is an individual pediatrics provider in New York, New York, licensed in New York (315707) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295297158
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. ELIZABETH KIRBY ODOMCredential: MD
Location Address2315 BROADWAY FL 3New York, NY 10024-4332
Mailing Address2315 Broadway Fl 3New York, NY 10024-4332 · (646) 962-0160 · Fax (646) 962-2110
Phone(646) 962-0160
Fax(646) 962-2110
Sole ProprietorNo
Enumeration DateApril 1, 2019
Last NPPES UpdateJune 29, 20232 updates tracked since enumeration
NPPES CertifiedJune 29, 2023
✔ NPI 1295297158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NY · 315707
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.
2315 BROADWAY FL 3, New York, NY 10024
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Elizabeth Kirby Odom 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10024 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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

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

MEAGHAN ELIZABETH MCCULLAGH AU.D.
Audiologist
2315 BROADWAY FL 3
NEW YORK, NY 10024
New York County (646) 962-2842

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 Elizabeth Odom's NPI number?

The NPI number for Elizabeth Odom is 1295297158. It was assigned to this individual provider in the NPPES registry on April 1, 2019.

Where is Elizabeth Odom located?

Elizabeth Odom practices at 2315 Broadway Fl 3, New York, NY 10024. The listed phone number is (646) 962-0160.

What is Elizabeth Odom's specialty?

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

Is Elizabeth Odom enrolled in Medicare?

Yes. Elizabeth Odom is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Elizabeth Odom was last updated on June 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.