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ODAM MEDICAL GROUP
NPI 1902392525
Clinic/Center - Primary Care in Saint Cloud, MN

Active since July 06, 2018
1521 NORTHWAY DR STE 116, SAINT CLOUD, MN 56303(320) 774-3800(320) 774-3360 Get Directions Write a Review

NPPES record last updated: March 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 11, 2025, Jul 23, 2023, Dec 22, 2022 and 1 more (4 updates tracked since 2018).

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

NPI1902392525
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameODAM MEDICAL GROUP
Location Address1521 NORTHWAY DR STE 116Saint Cloud, MN 56303-1274
Mailing Address1521 Northway Dr Ste 116Saint Cloud, MN 56303-1274 · (320) 774-3800 · Fax (320) 774-3360
Phone(320) 774-3800
Fax(320) 774-3360
Organization SubpartNo
Authorized OfficialRobert Larbi-odamCeo · (612) 871-2312
Enumeration DateJuly 6, 2018
Last NPPES UpdateMarch 11, 20254 updates tracked since enumeration
NPPES CertifiedMarch 11, 2025
✔ NPI 1902392525 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedClinic/Center · Rural HealthTaxonomy 261QR1300X
1521 NORTHWAY DR STE 116, Saint Cloud, MN 56303
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Other Names 1

Other NameOdam Medical Group - St. Cloud

Secondary Practice Location 1

Location 1435 Main St W Ste BRice, MN 56367-9516 · Phone (320) 774-3800 · Fax (320) 774-3360

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Other Providers at the Same Location NPPES

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

BRAYDE JAMES LIPP PT, DPT
Physical Therapist
1521 NORTHWAY DR STE 116
SAINT CLOUD, MN 56303
Stearns County (320) 654-9838

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.

What insurance does Odam Medical Group accept?

Health plans from Medica list Odam Medical Group as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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 17 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.