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

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 25, 2026.

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
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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

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.

Medicare Billing Reassignment

Medicare enrollment records show Travis Odom reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Childrens Specialty Group PLLC
5.7 mi
Pediatrics
601 CHILDRENS LN
Norfolk, VA 23507
  • Reassigned Medicare billing, Virginia enrollment
  • 549 clinicians in this Medicare group
NPI 1255354130 (757) 668-7007

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

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.

Which organization bills Medicare for Travis Odom's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Travis Odom reassigns Medicare benefits to Childrens Specialty Group PLLC (Norfolk, VA). The 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 Travis Odom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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.