Ebenezer Odoom, MD
NPI 1154416691 · Geriatric Medicine (Internal Medicine) Physician · Queens Village, NY
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ebenezer Odoom, MD is a Geriatric Medicine (Internal Medicine) Physician provider in Queens Village, NY (NPI 1154416691).
Provider details
- NPI number
- 1154416691
- Entity type
- Individual
- Primary specialty
- Geriatric Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 230787 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
902 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 222 | $142 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 149 | $18 |
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 138 | $8 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 93 | $102 |
| Advance Care Planning, First 30 Minutes99497 | 59 | $89 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent Visit |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 81 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Amlodipine Besylate | 306 | 114 |
| Pravastatin Sodium | 175 | 62 |
| Carvedilol | 145 | 44 |
| Ergocalciferol (vitamin D2)brand: Vitamin D2 | 144 | 83 |
| Atorvastatin Calcium | 135 | 48 |
| Metformin Hcl | 130 | 42 |
| Losartan Potassium | 125 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$868 across 37 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-10-03
- Last updated
- 2024-10-23
- Certified
- 2024-10-23
Frequently asked questions
- What is Ebenezer Odoom's NPI number?
- Ebenezer Odoom's National Provider Identifier (NPI) is 1154416691, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ebenezer Odoom's specialty?
- Ebenezer Odoom is listed in the NPPES registry with a primary specialty of Geriatric Medicine (Internal Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Ebenezer Odoom located?
- Ebenezer Odoom's practice location on file with NPPES is 21530 Hillside Ave, Queens Village, NY 11427-1831.
- What is Ebenezer Odoom's phone number?
- The practice phone number listed in the NPPES registry for Ebenezer Odoom is (718) 740-1701.
- Does Ebenezer Odoom accept Medicare?
- Ebenezer Odoom is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Ebenezer Odoom's NPI active?
- Yes — Ebenezer Odoom's NPI (1154416691) is active in the NPPES registry as of the last update on 2024-10-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.