DR. TRAVIS LEE ODOM MD
NPI 1477050573
Pediatrics - Pediatric Critical Care Medicine in Norfolk, VA

Q: What is Travis Odom's NPI number?

The NPI number for Travis Odom is 1477050573. It was assigned to this individual provider in the NPPES registry on April 6, 2018.

Q: What is Travis Odom's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Q: When was this NPI record last updated?

The NPPES record for Travis Odom was last updated on September 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since April 06, 2018PECOS EnrolledAccepts Medicare Assignment

PO BOX 11049, NORFOLK, VA 23517(757) 668-7871(757) 668-8658 Get Directions Write a Review

NPPES record last updated: September 24, 2024. Verified against the NPPES registry weekly; last sync: October 11, 2026.

On this page

About Dr. Travis Lee Odom Md NPPES

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

DR. TRAVIS LEE ODOM MD (NPI 1477050573) is an individual pediatric critical care medicine provider in Norfolk, Virginia, licensed in Virginia (0101281971) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS and is a graduate of Brody School Of Medicine At East Carolina University (2018).

NPPES Registry Identity

NPI1477050573

Entity TypeIndividualMale

Primary Taxonomy2080P0203X

Provider Legal NameDR. TRAVIS LEE ODOMCredential: MD

Location AddressPO BOX 11049Norfolk, VA 23517-0049

Mailing Address2100 Stantonsburg RdGreenville, NC 27834-2818 · (252) 744-2335 · Fax (252) 744-3811

Phone(757) 668-7871

Fax(757) 668-8658

Sole ProprietorNo

Medical School CMSBrody School Of Medicine At East Carolina UniversityGraduated 2018

Enumeration DateApril 6, 2018

Last NPPES UpdateSeptember 24, 2024

NPPES CertifiedSeptember 24, 2024

✔ NPI 1477050573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

License✔ Licensed in VA · 0101281971

Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

PO BOX 11049, Norfolk, VA 23517

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 and accepts Medicare assignment

Dr. Travis Lee Odom 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 ID9335491950

PECOS Enrollment IDI20240812001010

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.

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 Travis Odom's NPI number?

The NPI number for Travis Odom is 1477050573. It was assigned to this individual provider in the NPPES registry on April 6, 2018.

Where is Travis Odom located?

Travis Odom practices at PO Box 11049, Norfolk, VA 23517. The listed phone number is (757) 668-7871.

What is Travis Odom's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Travis Odom enrolled in Medicare?

Yes. Travis Odom 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.

When was this NPI record last updated?

The NPPES record for Travis Odom was last updated on September 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.