KAYODE ODUTAYO M.D
NPI 1790118875
Internal Medicine in Bronx, NY

Q: What is Kayode Odutayo's NPI number?

The NPI number for Kayode Odutayo is 1790118875. It was assigned to this individual provider in the NPPES registry on August 13, 2013.

Q: What is Kayode Odutayo's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Kayode Odutayo was last updated on July 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 August 13, 2013PECOS EnrolledAccepts Medicare Assignment

1650 GRAND CONCOURSE, BRONX, NY 10457(718) 992-7669 Get Directions Write a Review

NPPES record last updated: July 17, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 17, 2024, May 3, 2024, May 21, 2021 and 1 more (4 updates tracked since 2018).

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About Kayode Odutayo M.d NPPES

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

KAYODE ODUTAYO M.D (NPI 1790118875) is an individual internal medicine provider in Bronx, New York, licensed in New York (296259) and active in the NPI registry since August 2013. He is enrolled in Medicare PECOS, is affiliated with Good Samaritan Hospital Medical Center, and maintains a secondary practice location in Bronx.

NPPES Registry Identity

NPI1790118875

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameKAYODE ODUTAYOCredential: M.D

Location Address1650 GRAND CONCOURSEBronx, NY 10457-7679

Mailing Address150 Motor Pkwy Ste 4012324Hauppauge, NY 11788-5145 · (631) 209-5369

Phone(718) 992-7669

Sole ProprietorNo

Medical School CMSOtherGraduated 2006

Enumeration DateAugust 13, 2013

Last NPPES UpdateJuly 17, 20244 updates tracked since enumeration

NPPES CertifiedJuly 17, 2024

✔ NPI 1790118875 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in NY · 296259

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedHospitalistTaxonomy 208M00000X · License 296259 (NY)

1650 GRAND CONCOURSE, Bronx, NY 10457

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Secondary Practice Location 1

Location 11000 Pelham Pkwy SBronx, NY 10461-1003 · Phone (631) 209-5369

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kayode Odutayo M.d 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 ID2567756992

PECOS Enrollment IDI20181114000931

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.

Medicare Billing Reassignments

Medicare enrollment records show Kayode Odutayo reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Bronxcare Health System

Same address

Internal Medicine

1650 GRAND CONCOURSE
Bronx, NY 10457

Reassigned Medicare billing, New York enrollment
795 clinicians in this Medicare group

NPI 1245390855 (718) 901-8600

Lawrence Medical Associates, PC

7.9 mi

Emergency Medicine

55 PALMER AVENUE, DEPARTMENT OF EMERGENCY MEDICINE
Bronxville, NY 10708

Reassigned Medicare billing, New York enrollment
531 clinicians in this Medicare group

NPI 1497260806 (914) 787-1000

North Shore-Lij Medical PC

11 mi

Urology

1010 NORTHERN BLVD STE 110
Great Neck, NY 11021

Reassigned Medicare billing, New York enrollment
9,353 clinicians in this Medicare group

NPI 1053688572 (516) 321-7400

Southwest Suffolk Medical PC

31 mi

Family Medicine

502 S WELLWOOD AVE
Lindenhurst, NY 11757

Reassigned Medicare billing, New York enrollment
348 clinicians in this Medicare group

NPI 1770919763 (631) 226-8600

St. Peter's Hospital Of The City Of Albany

124 mi

Internal Medicine

53 COLUMBIA STREET
Rensselaer, NY 12144

Reassigned Medicare billing, New York enrollment
Medicare enrollment name: St Peters Hospital Of The City Of Albany
623 clinicians in this Medicare group

NPI 1487725750 (518) 434-2526

Samaritan Hospital Of Troy, New York

131 mi

General Acute Care Hospital

2215 BURDETT AVE
Troy, NY 12180

Reassigned Medicare billing, New York enrollment
725 clinicians in this Medicare group

NPI 1043267727 (518) 271-3300

Mvhs Inc

170 mi

Family Medicine

111 HOSPITAL DR
Utica, NY 13502

Reassigned Medicare billing, New York enrollment
657 clinicians in this Medicare group

NPI 1770690737 (315) 917-9966

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

109 services107 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

87 services86 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

80 services40 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

26 services19 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

23 services23 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Good Samaritan Hospital Medical Center

Acute Care Hospitals · West Islip, NY

1/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number330286

Location1000 Montauk HighwayWest Islip, NY 11795 · Suffolk County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10457 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

$154.28 typical visit price

range $67.40 – $203.53

Typical copayment $38.57 (range $16.85 – $50.88)

Most-billed visit code 99204

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

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 20

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

CASSIE LAUREN GREEN M.S., CCC-SLP

Speech-Language Pathologist