RAPHAEL OLUSEUN ODEKUNLE MD
NPI 1497108690
Family Medicine in Nutley, NJ

Active since July 22, 2016PECOS Enrolled
181 FRANKLIN AVE STE 301, NUTLEY, NJ 07110(973) 320-2625(973) 320-2626 Get Directions Write a Review

NPPES record last updated: December 10, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 10, 2024, Jul 9, 2024, Oct 2, 2019 (3 updates tracked since 2019).

About Raphael Oluseun Odekunle Md NPPES

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

RAPHAEL OLUSEUN ODEKUNLE MD (NPI 1497108690) is an individual family medicine provider in Nutley, New Jersey, licensed in New York (300854) and active in the NPI registry since July 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497108690
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameRAPHAEL OLUSEUN ODEKUNLECredential: MD
Location Address181 FRANKLIN AVE STE 301Nutley, NJ 07110-2900
Mailing Address181 Franklin Ave Ste 301Nutley, NJ 07110-2900 · (973) 320-2625 · Fax (973) 320-2626
Fax(973) 320-2626
Sole ProprietorNo
Enumeration DateJuly 22, 2016
Last NPPES UpdateDecember 10, 20243 updates tracked since enumeration
NPPES CertifiedDecember 10, 2024
NPI 1497108690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NY · 300854
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
181 FRANKLIN AVE STE 301, Nutley, NJ 07110

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Raphael Oluseun Odekunle Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
66 services66 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
51 services51 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07110 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
181 FRANKLIN AVE STE 301
NUTLEY, NJ 07110

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 Raphael Odekunle's NPI number?

The NPI number for Raphael Odekunle is 1497108690. It was assigned to this individual provider in the NPPES registry on July 22, 2016.

Where is Raphael Odekunle located?

Raphael Odekunle practices at 181 Franklin Ave Ste 301, Nutley, NJ 07110. The listed phone number is (973) 320-2625.

What is Raphael Odekunle's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Raphael Odekunle enrolled in Medicare?

Yes. Raphael Odekunle is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Raphael Odekunle was last updated on December 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.