Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. LUKE ODISHO MD
NPI 1427671924
Radiology - Neuroradiology in Royal Oak, MI

Q: What is Luke Odisho's NPI number?

The NPI number for Luke Odisho is 1427671924. It was assigned to this individual provider in the NPPES registry on May 19, 2020.

Q: What is Luke Odisho's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Neuroradiology, with taxonomy code 2085N0700X.

Q: When was this NPI record last updated?

The NPPES record for Luke Odisho was last updated on August 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days 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 May 19, 2020PECOS Enrolled

3601 W 13 MILE RD, ROYAL OAK, MI 48073(248) 898-5000 Get Directions Write a Review

NPPES record last updated: August 5, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 5, 2026, Jun 15, 2025, May 19, 2020 (3 updates tracked since 2020).

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About Dr. Luke Odisho Md NPPES

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

DR. LUKE ODISHO MD (NPI 1427671924) is an individual neuroradiology provider in Royal Oak, Michigan, licensed in Michigan (4301507718) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS and is a graduate of Oakland Univ, William Beaumont School Of Medicine (2020).

NPPES Registry Identity

NPI1427671924

Entity TypeIndividualMale

Primary Taxonomy2085N0700X

Provider Legal NameDR. LUKE ODISHOCredential: MD

Location Address3601 W 13 MILE RDRoyal Oak, MI 48073-6712

Mailing Address26901 Beaumont Blvd Ste 3dSouthfield, MI 48033-3849

Phone(248) 898-5000

Sole ProprietorYes

Medical School CMSOakland Univ, William Beaumont School Of MedicineGraduated 2020

Enumeration DateMay 19, 2020

Last NPPES UpdateAugust 5, 20263 updates tracked since enumeration

NPPES CertifiedAugust 5, 2026

✔ NPI 1427671924 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · NeuroradiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085N0700X

License✔ Licensed in MI · 4301507718

Definition

A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.

3601 W 13 MILE RD, Royal Oak, MI 48073

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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. Luke Odisho Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID446671853

PECOS Enrollment IDI20260611004113

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.

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.

AMIT BAHL MD, MPH

Emergency Medicine

3601 W 13 MILE RD, WILLIAM BEAUMONT HOSPITAL
ROYAL OAK, MI 48073

Oakland County (248) 898-0575

CATHERINE LEE PA

Physician Assistant