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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: October 25, 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 Health, Ambetter Health of Delaware, Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Ebuka Oduche reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hshs Prairie, Inc
2.0 mi
Multi-Specialty
3051 HOLLIS DR
Springfield, IL 62704
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Hshs Medical Group Inc
  • 317 clinicians in this Medicare group
NPI 1962644807 (217) 523-5406
Cep America-Illinois Hospitalists, LLP
3.8 mi
Internal Medicine
800 E CARPENTER ST
Springfield, IL 62769
  • Reassigned Medicare billing, Illinois enrollment
  • 329 clinicians in this Medicare group
NPI 1598532061 (217) 544-6464

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

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.

Which organizations bill Medicare for Ebuka Oduche's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ebuka Oduche reassigns Medicare benefits to 2 organizations: Hshs Prairie, Inc (Springfield, IL) and Cep America-Illinois Hospitalists, LLP (Springfield, IL). Each 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 Ebuka Oduche's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ebuka Oduche accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar 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 12 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.