DR. MARY-TIFFANY ADANNIA ODUAH MD
NPI 1992325708
Internal Medicine - Critical Care Medicine in Rochester, MN

Active since April 22, 2020PECOS Enrolled
200 1ST ST SW, ROCHESTER, MN 55905(507) 284-5934 Get Directions Write a Review

NPPES record last updated: June 16, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 27, 2021, Aug 27, 2020, Aug 12, 2020 and 1 more (4 updates tracked since 2020).

About Dr. Mary-tiffany Adannia Oduah Md NPPES

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

DR. MARY-TIFFANY ADANNIA ODUAH MD (NPI 1992325708) is an individual critical care medicine provider in Rochester, Minnesota, licensed in Minnesota (69645) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992325708
Entity TypeIndividualFemale
Primary Taxonomy207RC0200X
Provider Legal NameDR. MARY-TIFFANY ADANNIA ODUAHCredential: MD
Location Address200 1ST ST SWRochester, MN 55905-0002
Mailing AddressPo Box 860912Minneapolis, MN 55486-0912 · (507) 284-2511
Sole ProprietorNo
Enumeration DateApril 22, 2020
Last NPPES UpdateJune 16, 20264 updates tracked since enumeration
NPPES CertifiedJune 16, 2026
NPI 1992325708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License Licensed in MN · 69645
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedInternal MedicineTaxonomy 207R00000X · License 30742 (MN)
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 69645 (MN)
200 1ST ST SW, Rochester, MN 55905

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Mary-tiffany Adannia Oduah 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.

Areas of Expertise CMS Part B claims 2

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
26 services22 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55905 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

Internal Medicine
200 1ST ST SW
ROCHESTER, MN 55905
Pathology (Clinical Pathology/Laboratory Medicine)
200 1ST ST SW
ROCHESTER, MN 55905
Nurse Practitioner
200 1ST ST SW
ROCHESTER, MN 55905
Nurse Practitioner
200 1ST ST SW
ROCHESTER, MN 55905
Optometrist
200 1ST ST SW
ROCHESTER, MN 55905
Psychologist
200 1ST ST SW
ROCHESTER, MN 55905
Nurse Anesthetist, Certified Registered
200 1ST ST SW
ROCHESTER, MN 55905
Internal Medicine (Endocrinology, Diabetes & Metabolism)
200 1ST ST SW
ROCHESTER, MN 55905

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 Mary-tiffany Oduah's NPI number?

The NPI number for Mary-tiffany Oduah is 1992325708. It was assigned to this individual provider in the NPPES registry on April 22, 2020.

Where is Mary-tiffany Oduah located?

Mary-tiffany Oduah practices at 200 1st St SW, Rochester, MN 55905. The listed phone number is (507) 284-5934.

What is Mary-tiffany Oduah's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Mary-tiffany Oduah enrolled in Medicare?

Yes. Mary-tiffany Oduah is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mary-tiffany Oduah was last updated on June 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.