Kayode Odutayo, MD - Medicare Internal Medicine in Bronx, NY

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Kayode Odutayo, MD is a medicare enrolled "Internal Medicine" physician in Bronx, New York. He graduated from medical school in 2006 and has 20 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Southwest Suffolk Medical Pc and his current practice location is 1650 Grand Concourse, Bronx, New York. You can reach out to his office (for appointments etc.) via phone at (718) 992-7669.

Kayode Odutayo is licensed to practice in New York (license number 296259) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1790118875.

Contact Information

Kayode Odutayo, MD
1650 Grand Concourse,
Bronx, NY 10457-7679
(718) 992-7669
Not Available

Map and Direction




Physician's Profile

Full NameKayode Odutayo
GenderMale
SpecialityInternal Medicine
Experience20 Years
Location1650 Grand Concourse, Bronx, New York
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kayode Odutayo graduated from medical school in 2006
  NPI Data:
  • NPI Number: 1790118875
  • Provider Enumeration Date: 08/13/2013
  • Last Update Date: 07/17/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 2567756992
  • Enrollment ID: I20181114000931

Medical Identifiers

Medical identifiers for Kayode Odutayo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790118875NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208M00000XHospitalist 296259 (New York)Secondary
207R00000XInternal Medicine 296259 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Good Samaritan Hospital Medical CenterWest islip, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southwest Suffolk Medical Pc0244396349164

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kayode Odutayo allows following entities to bill medicare on his behalf.
Entity NameSamaritan Hospital Of Troy, New York
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043267727
PECOS PAC ID: 6507770070
Enrollment ID: O20031118000782
Entity NameMvhs Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770690737
PECOS PAC ID: 2769380252
Enrollment ID: O20031222000433
Entity NameSt Peters Hospital Of The City Of Albany
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518042357
PECOS PAC ID: 2668460072
Enrollment ID: O20040504001301
Entity NameBronxcare Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245390855
PECOS PAC ID: 3870404429
Enrollment ID: O20040526001082
Entity NameSouthwest Suffolk Medical Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104096049
PECOS PAC ID: 0244396349
Enrollment ID: O20090225000297
Entity NameLawrence Medical Associates Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023257441
PECOS PAC ID: 1759439631
Enrollment ID: O20090504000017
Entity NameNorth Shore-lij Medical Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053688572
PECOS PAC ID: 3375701568
Enrollment ID: O20120220000262
Entity NameKayode Odutayo Md Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427805746
PECOS PAC ID: 6204278658
Enrollment ID: O20240530001841

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kayode Odutayo is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kayode Odutayo, MD
150 Motor Pkwy Ste 4012324,
Hauppauge, NY 11788-5145

Ph: (631) 209-5369		Kayode Odutayo, MD
1650 Grand Concourse,
Bronx, NY 10457-7679

Ph: (718) 992-7669

Reviews and Comments


Internal Medicine Doctors in Bronx, NY

Selina Sultana Zaman, MD
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Mana Rao, M.D.
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Heather Root, MD
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Kohtaro Ooka,
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Benjamin Tuttle Hayes, MD
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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.