ODAM MEDICAL GROUP
NPI 1538059779
Clinic/Center - Primary Care in Foley, MN

Active since July 08, 2025
700 PENN ST, FOLEY, MN 56329(320) 774-3800(320) 774-3360 Get Directions Write a Review

NPPES record last updated: July 8, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Odam Medical Group NPPES

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

ODAM MEDICAL GROUP (NPI 1538059779) is a healthcare organization registered as a primary care in Foley, Minnesota and active in the NPI registry since July 2025. The organization lists Robert Larbi-odam, Ceo, as its authorized official.

NPPES Registry Identity

NPI1538059779
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameODAM MEDICAL GROUP
Location Address700 PENN STFoley, MN 56329-8700
Mailing Address700 Penn StFoley, MN 56329-8700 · (320) 774-3800 · Fax (612) 871-2163
Fax(320) 774-3360
Organization SubpartNo
Authorized OfficialRobert Larbi-odamCeo · (612) 871-2312
Enumeration DateJuly 8, 2025
NPPES CertifiedJune 24, 2025
✔ NPI 1538059779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedClinic/Center · Rural HealthTaxonomy 261QR1300X
700 PENN ST, Foley, MN 56329

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Odam Medical Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Odam Medical Group, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (7)

Nurse Practitioner
NPI 1891686507
3405 3RD ST N
Saint Cloud, MN 56303
(320) 774-1041
✔ PECOS✔ Accepts Medicare16 mi
Nurse Practitioner
NPI 1356119523
6014 LAKELAND AVE N
Crystal, MN 55428
(612) 871-2312
✔ PECOS50 mi
Family Practice
NPI 1457311409
6014 LAKELAND AVE N
Crystal, MN 55428
(612) 871-2312
✔ PECOS✔ Accepts Medicare50 mi
Family Practice
NPI 1609493147
6014 LAKELAND AVE N
Crystal, MN 55428
(612) 871-2312
✔ PECOS✔ Accepts Medicare50 mi
Nurse Practitioner
NPI 1780247015
1821 UNIVERSITY AVE W STE 225
Saint Paul, MN 55104
(651) 434-4411
✔ PECOS61 mi
Nurse Practitioner
NPI 1063517100
409 NORTH DUNLAP STREET OPEN CITIES HEALTH CENTER
Saint Paul, MN 55104
(651) 290-9200
✔ PECOS✔ Accepts Medicare62 mi
Nurse Practitioner
NPI 1891278693
19685 PILOT KNOB RD
Farmington, MN 55024
(651) 602-7500
✔ PECOS✔ Accepts Medicare78 mi

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 Odam Medical Group's NPI number?

The NPI number for Odam Medical Group is 1538059779. It was assigned to this organization in the NPPES registry on July 8, 2025.

Where is Odam Medical Group located?

Odam Medical Group is located at 700 Penn St, Foley, MN 56329. The listed phone number is (320) 774-3800.

What is Odam Medical Group's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Odam Medical Group enrolled in Medicare?

Yes. Odam Medical Group is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Odam Medical Group?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 2 Medicare specialties reassign their Medicare billing to Odam Medical Group. A 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 the clinician's services. The largest specialties are Nurse Practitioner (5) and Family Practice (2). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Odam Medical Group was last updated on July 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.