OGHENEKEVWE DAVID ODOGUN M.D
NPI 1699568030
Student in an Organized Health Care Education/Training Program in Newburgh, NY

Active since May 28, 2025PECOS Enrolled
70 DUBOIS STREET, NEWBURGH, NY 12550(845) 458-4883 Get Directions Write a Review

NPPES record last updated: January 26, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 26, 2026, May 28, 2025 (2 updates tracked since 2025).

About Oghenekevwe David Odogun M.d NPPES

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

OGHENEKEVWE DAVID ODOGUN M.D (NPI 1699568030) is an individual student in an organized health care education/training program in Newburgh, New York and active in the NPI registry since May 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699568030
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameOGHENEKEVWE DAVID ODOGUNCredential: M.D
Location Address70 DUBOIS STREETNewburgh, NY 12550
Mailing Address70 Dubois StreetNewburgh, NY 12550 · (845) 458-4883
Sole ProprietorNo
Enumeration DateMay 28, 2025
Last NPPES UpdateJanuary 26, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 26, 2026
NPI 1699568030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
70 DUBOIS STREET, Newburgh, NY 12550

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Oghenekevwe David Odogun M.d 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.

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.

Student in an Organized Health Care Education/Training Program
70 DUBOIS STREET
NEWBURGH, NY 12550
Student in an Organized Health Care Education/Training Program
70 DUBOIS STREET
NEWBURGH, NY 12550
Nurse Anesthetist, Certified Registered
70 DUBOIS STREET, ST. LUKES HOSPITAL
NEWBURGH, NY 12550
Student in an Organized Health Care Education/Training Program
70 DUBOIS STREET
NEWBURGH, NY 12550
Internal Medicine
70 DUBOIS STREET
NEWBURG, NY 12550
Nurse Anesthetist, Certified Registered
70 DUBOIS STREET, ST LUKES HOSPITAL
NEWBURGH, NY 12550
Student in an Organized Health Care Education/Training Program
70 DUBOIS STREET, MONTEFIORE ST. LUKE'S CORNWALL
NEWBURGH, NY 12550
Nurse Anesthetist, Certified Registered
70 DUBOIS STREET, ST. LUKES HOSPITAL
NEWBURGH, NY 12550

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 Oghenekevwe Odogun's NPI number?

The NPI number for Oghenekevwe Odogun is 1699568030. It was assigned to this individual provider in the NPPES registry on May 28, 2025.

Where is Oghenekevwe Odogun located?

Oghenekevwe Odogun practices at 70 Dubois Street, Newburgh, NY 12550. The listed phone number is (845) 458-4883.

What is Oghenekevwe Odogun's specialty?

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

Is Oghenekevwe Odogun enrolled in Medicare?

Yes. Oghenekevwe Odogun is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Oghenekevwe Odogun was last updated on January 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.