MITCHELL ODOM M.D.
NPI 1831570662
Emergency Medicine in Milwaukee, WI
About Mitchell Odom M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MITCHELL ODOM M.D. (NPI 1831570662) is an individual emergency medicine provider in Milwaukee, Wisconsin, licensed in Wisconsin (73663) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, is affiliated with Saint Joseph Mercy Livingston Hospital, and is a graduate of Vanderbilt University School Of Medicine (2015).
NPPES Registry Identity
Specialties & Licenses
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
Mitchell Odom 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.
Medicare Billing Reassignments
3Medicare enrollment records show Mitchell Odom reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Milwaukee, WI 53226
- Reassigned Medicare billing, Wisconsin enrollment
- 3,983 clinicians in this Medicare group
Menomonee Falls, WI 53051
- Reassigned Medicare billing, Wisconsin enrollment
- 2,294 clinicians in this Medicare group
Livonia, MI 48154
- Reassigned Medicare billing, Michigan enrollment
- Medicare enrollment name: Epmg Of Michigan PC
- 175 clinicians in this Medicare group
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 8
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Saint Joseph Mercy Livingston Hospital
Acute Care Hospitals · Howell, MITrinity Health Ann Arbor Hospital
Acute Care Hospitals · Ann Arbor, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53226 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
MILWAUKEE, WI 53226
MILWAUKEE, WI 53226
MILWAUKEE, WI 53226
MILWAUKEE, WI 53226
MILWAUKEE, WI 53226
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 Mitchell Odom's NPI number?
The NPI number for Mitchell Odom is 1831570662. It was assigned to this individual provider in the NPPES registry on June 17, 2015.
Where is Mitchell Odom located?
Mitchell Odom practices at 9200 W Wisconsin Ave, Milwaukee, WI 53226. The listed phone number is (414) 805-6717.
What is Mitchell Odom's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Mitchell Odom enrolled in Medicare?
Yes. Mitchell Odom 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.
Which organizations bill Medicare for Mitchell Odom's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mitchell Odom reassigns Medicare benefits to 3 organizations: The Medical College Of Wisconsin, Inc. (Milwaukee, WI), Froedtert & the Medical College Of Wisconsin Community Physicians, Inc. (Menomonee Falls, WI) and Epmg Of Michigan, P.C. (Livonia, MI). Each 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 Mitchell Odom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Mitchell Odom affiliated with any hospitals?
According to CMS data, Mitchell Odom is affiliated with Saint Joseph Mercy Livingston Hospital and Trinity Health Ann Arbor Hospital.
When was this NPI record last updated?
The NPPES record for Mitchell Odom was last updated on February 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.
# Mitchell Odom, M.D. · NPI 1831570662
Emergency Medicine physician in Milwaukee, Wisconsin. Individual provider, active in the CMS NPPES registry since June 17, 2015.
## Identity
- **NPI:** 1831570662 (Entity type: Individual)
- **Enumerated:** June 17, 2015
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 73663 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 9200 W WISCONSIN AVE, Milwaukee, WI 53226-3522
- **Phone:** (414) 805-6717 · **Fax:** (414) 805-6428
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): The Medical College Of Wisconsin, Inc. (NPI 1699720086, Milwaukee, WI); Froedtert & the Medical College Of Wisconsin Community Physicians, Inc. (NPI 1568787448, Menomonee Falls, WI); Epmg Of Michigan, P.C. (NPI 1386688992, Livonia, MI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Vanderbilt University School Of Medicine, class of 2015
## Record status
- **NPPES last updated:** February 18, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1831570662) · Data from the CMS NPPES public registry.