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OLATUBOSUN ODUSI MD
NPI 1972598084
Pediatrics in Woodstock, IL

Active since September 14, 2005PECOS Enrolled
3707 DOTY RD STE H, WOODSTOCK, IL 60098(815) 206-2800(815) 337-5491 Get Directions Write a Review

NPPES record last updated: March 14, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Olatubosun Odusi Md NPPES

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

OLATUBOSUN ODUSI MD (NPI 1972598084) is an individual pediatrics provider in Woodstock, Illinois, licensed in New York (216736) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS and maintains a secondary practice location in Brooklyn.

NPPES Registry Identity

NPI1972598084
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameOLATUBOSUN ODUSICredential: MD
Location Address3707 DOTY RD STE HWoodstock, IL 60098-7530
Mailing Address3707 Doty Rd Ste HWoodstock, IL 60098-7530 · (815) 206-2800 · Fax (815) 337-5491
Phone(815) 206-2800
Fax(815) 337-5491
Sole ProprietorNo
Enumeration DateSeptember 14, 2005
Last NPPES UpdateMarch 14, 2024
NPPES CertifiedMarch 14, 2024
✔ NPI 1972598084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NY · 216736
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
3707 DOTY RD STE H, Woodstock, IL 60098
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Secondary Practice Location 1

Location 14802 10th AveBrooklyn, NY 11219-2844 · Phone (718) 283-7500 · Fax (718) 635-7235

Other Identifiers 14

Other1000006625NY · Affinity Health
OtherP2164401NY · Oxford Health Plan
Other216736NY · Hip
Other2C9466NY · Health Net
Other2031247NY · United Health Care
Other7440270NY · Aetna Ppo
Other2592835NY · Aetna Ushc Ppo
Other2697890NY · Ghi
OtherOO6736NY · Atlantis Health Plan
Medicaid02112912NY
Other112940201NY · Health Plus
Other0100713-02NY · Americhoice
Other1R0921NY · Empire Bcbs
Other216736-A15NY · Health First

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Olatubosun Odusi Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60098 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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 4

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

MARIA A RAGUSA CPN
Nurse Practitioner (Pediatrics)
3707 DOTY RD STE H
WOODSTOCK, IL 60098
McHenry County (815) 338-6600
DR. SARAH H PAE MD
Pediatrics
3707 DOTY RD STE H
WOODSTOCK, IL 60098
McHenry County (847) 981-3677
DR. YASMEEN J HASAN M.D.
Family Medicine
3707 DOTY RD STE H
WOODSTOCK, IL 60098
McHenry County (815) 338-6600
DR. LAURA M LARKNER DO
Pediatrics
3707 DOTY RD STE H
WOODSTOCK, IL 60098
McHenry County (815) 338-6600

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 Olatubosun Odusi's NPI number?

The NPI number for Olatubosun Odusi is 1972598084. It was assigned to this individual provider in the NPPES registry on September 14, 2005.

Where is Olatubosun Odusi located?

Olatubosun Odusi practices at 3707 Doty Rd Ste H, Woodstock, IL 60098. The listed phone number is (815) 206-2800.

What is Olatubosun Odusi's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Olatubosun Odusi enrolled in Medicare?

Yes. Olatubosun Odusi is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Olatubosun Odusi was last updated on March 14, 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.