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NIYI O ODEWADE
NPI 1639811722
Student in an Organized Health Care Education/Training Program in Boston, MA

Active since April 10, 2022PECOS EnrolledAccepts Medicare Assignment
75 FRANCIS ST, BOSTON, MA 02115(617) 732-5500 Get Directions Write a Review

NPPES record last updated: December 24, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Niyi O Odewade NPPES

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

NIYI O ODEWADE (NPI 1639811722) is an individual student in an organized health care education/training program in Boston, Massachusetts and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS and is a graduate of Harvard Medical School (2022).

NPPES Registry Identity

NPI1639811722
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameNIYI O ODEWADE
Location Address75 FRANCIS STBoston, MA 02115-6106
Mailing Address75 Francis StBoston, MA 02115-6110 · (617) 732-5500
Phone(617) 732-5500
Sole ProprietorNo
Medical School CMSHarvard Medical SchoolGraduated 2022
Enumeration DateApril 10, 2022
Last NPPES UpdateDecember 24, 2023
NPPES CertifiedDecember 24, 2023
✔ NPI 1639811722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

75 FRANCIS ST, Boston, MA 02115
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Niyi O Odewade 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 ID1153811856
PECOS Enrollment IDI20251110002247
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.

Other Providers at the Same Location NPPES 20

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

DR. PO-SHUN LEE MD
Internal Medicine (Pulmonary Disease)
75 FRANCIS ST, BRIGHAM & WOMEN'S HOSPITAL, PULMONARY & CRITICAL CARE
BOSTON, MA 02115
Suffolk County (617) 355-9012
DR. CORNELIUS A SULLIVAN MD
Anesthesiology
75 FRANCIS ST, DEPARTMENT OF ANESTHESIOLOGY CWN L2
BOSTON, MA 02115
Suffolk County (617) 732-5500
MRS. CHRISTIE J LUCENTE PA
Physician Assistant
75 FRANCIS ST
BOSTON, MA 02115
Suffolk County (617) 732-5500
VERA STEWART FRANKLIN M.D.
Radiology (Diagnostic Radiology)
75 FRANCIS ST
BOSTON, MA 02115
Suffolk County (508) 862-5379
DR. ALISON FIFE MD
Psychiatry & Neurology (Psychiatry)
75 FRANCIS ST
BOSTON, MA 02115
Suffolk County (617) 732-6750
RUSSELL ALAN BLINDER M.D.
Radiology (Diagnostic Radiology)
75 FRANCIS ST, RADIOLOGY, BRIGHAM AND WOMEN'S HOSPITAL
BOSTON, MA 02115
Suffolk County (617) 632-3306
MIGUEL JOSE DIVO MD
Internal Medicine (Pulmonary Disease)
75 FRANCIS ST, PULMONARY DIVISION BRIGHAM AND WOMEN'S HOSPITAL
BOSTON, MA 02115
Suffolk County (857) 307-0310
CHRISTOPH ANDREAS BINKERT M.D.
Radiology (Vascular & Interventional Radiology)
75 FRANCIS ST, RADIOLOGY, BRIGHAM AND WOMEN'S HOSPITAL
BOSTON, MA 02115
Suffolk County (617) 732-7257

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 Niyi Odewade's NPI number?

The NPI number for Niyi Odewade is 1639811722. It was assigned to this individual provider in the NPPES registry on April 10, 2022.

Where is Niyi Odewade located?

Niyi Odewade practices at 75 Francis St, Boston, MA 02115. The listed phone number is (617) 732-5500.

What is Niyi Odewade's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Niyi Odewade enrolled in Medicare?

Yes. Niyi Odewade 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.

When was this NPI record last updated?

The NPPES record for Niyi Odewade was last updated on December 24, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.