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EBUKA EDWIN ODUCHE MD
NPI 1396369211
Psychiatry & Neurology - Psychiatry in Springfield, IL

Active since June 05, 2020PECOS EnrolledAccepts Medicare Assignment
2901 OLD JACKSONVILLE RD STE D, SPRINGFIELD, IL 62704(217) 544-9252(217) 529-4154 Get Directions Write a Review

NPPES record last updated: October 27, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ebuka Edwin Oduche Md NPPES

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

EBUKA EDWIN ODUCHE MD (NPI 1396369211) is an individual psychiatry provider in Springfield, Illinois, licensed in Illinois (036173913) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS, is affiliated with St Johns Hospital, and maintains a secondary practice location in Springfield.

NPPES Registry Identity

NPI1396369211
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameEBUKA EDWIN ODUCHECredential: MD
Location Address2901 OLD JACKSONVILLE RD STE DSpringfield, IL 62704-7441
Mailing Address2901 Old Jacksonville Rd Ste DSpringfield, IL 62704-7441 · (217) 544-9252 · Fax (217) 529-4154
Phone(217) 544-9252
Fax(217) 529-4154
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJune 5, 2020
Last NPPES UpdateOctober 27, 2025
NPPES CertifiedOctober 27, 2025
✔ NPI 1396369211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses✔ Licensed in IL · 036173913✔ Licensed in IL · 125.076620
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedInternal MedicineTaxonomy 207R00000X · License 125.076620 (IL), 036173913 (IL)
2901 OLD JACKSONVILLE RD STE D, Springfield, IL 62704
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Secondary Practice Location 1

Location 1701 N 1st StSpringfield, IL 62702-3757 · Phone (217) 545-8000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

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

Ebuka Edwin Oduche 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 ID9436573953
PECOS Enrollment IDI20250916004156, I20251028001636
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

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

St Johns Hospital

Acute Care Hospitals · Springfield, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140053
Location800 E Carpenter StSpringfield, IL 62769 · Sangamon County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62704 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
$168.44 typical visit price
range $54.80 – $168.44
Typical copayment $42.11 (range $13.70 – $42.11)
Most-billed visit code 99205
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Ebuka Oduche's NPI number?

The NPI number for Ebuka Oduche is 1396369211. It was assigned to this individual provider in the NPPES registry on June 5, 2020.

Where is Ebuka Oduche located?

Ebuka Oduche practices at 2901 Old Jacksonville Rd Ste D, Springfield, IL 62704. The listed phone number is (217) 544-9252.

What is Ebuka Oduche's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Ebuka Oduche enrolled in Medicare?

Yes. Ebuka Oduche is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Ebuka Oduche accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Ebuka Oduche as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Ebuka Oduche affiliated with any hospitals?

According to CMS data, Ebuka Oduche is affiliated with St Johns Hospital.

When was this NPI record last updated?

The NPPES record for Ebuka Oduche was last updated on October 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.