Odin De Los Reyes DPM Inc
NPI 1205050630 · Primary Podiatric Medicine Podiatrist · Southbury, CT
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Odin De Los Reyes DPM Inc is a Primary Podiatric Medicine Podiatrist organization in Southbury, CT (NPI 1205050630).
Provider details
- NPI number
- 1205050630
- Entity type
- Organization
- Primary specialty
- Primary Podiatric Medicine PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Odin De Los Reyes, Podiatrist(203) 262-6100
- License
- CT000680 (CT)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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 methodology.
Practice location
Mailing address
Additional practice locations (1)
- 325 Main St Ste 1bFarmington, CT 06032-2977Phone: (860) 229-1999Fax: (203) 264-6679
Registry dates
- Enumerated
- 2007-04-13
- Last updated
- 2020-09-23
- Certified
- 2020-09-23
Frequently asked questions
- What is Odin De Los Reyes DPM Inc's NPI number?
- Odin De Los Reyes DPM Inc's National Provider Identifier (NPI) is 1205050630, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Odin De Los Reyes DPM Inc?
- Odin De Los Reyes DPM Inc is classified in the NPPES registry as Primary Podiatric Medicine Podiatrist (Podiatric Medicine & Surgery Service Providers).
- Where is Odin De Los Reyes DPM Inc located?
- Odin De Los Reyes DPM Inc's practice location on file with NPPES is 1 Pomperaug Office Park, Southbury, CT 06488-2295.
- What is Odin De Los Reyes DPM Inc's phone number?
- The practice phone number listed in the NPPES registry for Odin De Los Reyes DPM Inc is (230) 262-6100.
- Does Odin De Los Reyes DPM Inc accept Medicare?
- Odin De Los Reyes DPM Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Odin De Los Reyes DPM Inc?
- The authorized official listed on Odin De Los Reyes DPM Inc's NPPES record is Odin De Los Reyes, Podiatrist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Odin De Los Reyes DPM Inc's NPI active?
- Yes — Odin De Los Reyes DPM Inc's NPI (1205050630) is active in the NPPES registry as of the last update on 2020-09-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.