ODAM MEDICAL GROUP
NPI 1902392525
Clinic/Center - Primary Care in Saint Cloud, MN
About Odam Medical Group NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ODAM MEDICAL GROUP (NPI 1902392525) is a healthcare organization registered as a primary care in Saint Cloud, Minnesota and active in the NPI registry since July 2018. The organization maintains a secondary practice location in Rice and lists Robert Larbi-odam, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Odam Medical Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
7Medicare enrollment records show 7 clinicians reassign Medicare billing to Odam Medical Group, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (7)
Saint Paul, MN 55104
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Odam Medical Group's NPI number?
The NPI number for Odam Medical Group is 1902392525. It was assigned to this organization in the NPPES registry on July 6, 2018. The provider is also known as Odam Medical Group - St. Cloud.
Where is Odam Medical Group located?
Odam Medical Group is located at 1521 Northway Dr Ste 116, Saint Cloud, MN 56303. The listed phone number is (320) 774-3800.
What is Odam Medical Group's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Odam Medical Group enrolled in Medicare?
Yes. Odam Medical Group is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Odam Medical Group?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 2 Medicare specialties reassign their Medicare billing to Odam Medical Group. A 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 the clinician's services. The largest specialties are Nurse Practitioner (5) and Family Practice (2). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Odam Medical Group was last updated on March 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Odam Medical Group · NPI 1902392525
Primary Care organization in Saint Cloud, Minnesota. Organization record, active in the CMS NPPES registry since July 6, 2018.
## Identity
- **NPI:** 1902392525 (Entity type: Organization)
- **Enumerated:** July 6, 2018
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Also known as:** ODAM MEDICAL GROUP - ST. CLOUD (Other Name)
- **Organization subpart:** No
- **Authorized official:** Robert Larbi-Odam, CEO
## Practice location
- **Address:** 1521 NORTHWAY DR STE 116, Saint Cloud, MN 56303-1274
- **Phone:** (320) 774-3800 · **Fax:** (320) 774-3360
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 7 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (5), Family Practice (2); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 11, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1902392525) · Data from the CMS NPPES public registry.