OLUDARE ADEDAYO ODUMADE MD, PHD
NPI 1528487345
Pediatrics - Neonatal-Perinatal Medicine in Minneapolis, MN

Q: What is the provider's specialty?

The provider's specialty is Pediatrics with taxonomy code 2080N0001X and a focus in Neonatal-Perinatal Medicine.

Active since April 09, 2014PECOS Enrolled

2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454(612) 626-0644 Get Directions Write a Review

NPPES record last updated: September 17, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 17, 2024, Jul 21, 2022, Aug 25, 2017 (3 updates tracked since 2017).

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About Oludare Adedayo Odumade Md, Phd NPPES

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

OLUDARE ADEDAYO ODUMADE MD, PHD (NPI 1528487345) is an individual neonatal-perinatal medicine provider in Minneapolis, Minnesota, licensed in Minnesota (76840) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1528487345

Entity TypeIndividualFemale

Primary Taxonomy2080N0001X

Provider Legal NameOLUDARE ADEDAYO ODUMADECredential: MD, PHD

Location Address2450 RIVERSIDE AVEMinneapolis, MN 55454-1450

Mailing Address2450 Riverside Ave # Ao-401Minneapolis, MN 55454-1450

Phone(612) 626-0644

Sole ProprietorNo

Enumeration DateApril 9, 2014

Last NPPES UpdateSeptember 17, 20243 updates tracked since enumeration

NPPES CertifiedSeptember 17, 2024

✔ NPI 1528487345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080N0001X

License✔ Licensed in MN · 76840

Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

Also ListedPediatricsTaxonomy 208000000X · License 76840 (MN)

2450 RIVERSIDE AVE, Minneapolis, MN 55454

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Oludare Adedayo Odumade Md, Phd 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.