Odam Medical Group
NPI 1578934683 · Clinic/Center · Crystal, MN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Odam Medical Group is a Clinic/Center organization in Crystal, MN (NPI 1578934683).
Provider details
- NPI number
- 1578934683
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Robert Larbi-Odam, Ceo/Medical Director(952) 992-9305
Specialties & taxonomies
Ambulatory Health Care Facilities
- Primary Care Clinic/Center261QP2300X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Registry dates
- Enumerated
- 2015-10-14
- Last updated
- 2022-12-22
- Certified
- 2022-12-22
Frequently asked questions
- What is Odam Medical Group's NPI number?
- Odam Medical Group's National Provider Identifier (NPI) is 1578934683, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Odam Medical Group?
- Odam Medical Group is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Odam Medical Group located?
- Odam Medical Group's practice location on file with NPPES is 6014 Lakeland Ave N, Crystal, MN 55428-2984.
- What is Odam Medical Group's phone number?
- The practice phone number listed in the NPPES registry for Odam Medical Group is (612) 871-2312.
- Does Odam Medical Group accept Medicare?
- Odam Medical Group 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 Odam Medical Group?
- The authorized official listed on Odam Medical Group's NPPES record is Robert Larbi-Odam, Ceo/Medical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Odam Medical Group's NPI active?
- Yes — Odam Medical Group's NPI (1578934683) is active in the NPPES registry as of the last update on 2022-12-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.