ADEBOWALE AYOOLA ODULANA MD, MPH
NPI 1639387178
Pediatrics in Memphis, TN

Q: What is Adebowale Odulana's NPI number?

The NPI number for Adebowale Odulana is 1639387178. It was assigned to this individual provider in the NPPES registry on May 18, 2007.

Q: What is Adebowale Odulana's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Adebowale Odulana was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 May 18, 2007PECOS Enrolled

51 N DUNLAP ST STE 350, MEMPHIS, TN 38105(901) 287-7337(901) 287-5506 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Jun 1, 2017 (3 updates tracked since 2017).

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About Adebowale Ayoola Odulana Md, Mph NPPES

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

ADEBOWALE AYOOLA ODULANA MD, MPH (NPI 1639387178) is an individual pediatrics provider in Memphis, Tennessee, licensed in Tennessee (55688) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS and maintains a secondary practice location in Charleston.

NPPES Registry Identity

NPI1639387178

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameADEBOWALE AYOOLA ODULANACredential: MD, MPH

Location Address51 N DUNLAP ST STE 350Memphis, TN 38105-4625

Mailing Address850 Poplar Ave Bldg 2Memphis, TN 38105-4607 · (901) 287-5565 · Fax (901) 287-6804

Phone(901) 287-7337

Fax(901) 287-5506

Sole ProprietorNo

Enumeration DateMay 18, 2007

Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration

✔ NPI 1639387178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in TN · 55688✔ Licensed in SC · 36186

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 0116018224 (VA)

51 N DUNLAP ST STE 350, Memphis, TN 38105

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Secondary Practice Location 1

Location 1171 Ashley AveCharleston, SC 29425-8908 · Phone (843) 792-1414

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, UnitedHealthcare.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)

Adebowale Ayoola Odulana Md, Mph 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38105 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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 5

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

DR. JENNIFER LUM M.D.

Pediatrics