JOY ODETA – Family Medicine Physician, NPI 1447409255

JOY ODETA is a healthcare provider. based in Hope, Indiana. specializing in FAMILY PRACTICE. They hold a License No. MD.205074 (LA). The NPI Number for JOY ODETA is 1447409255

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
JOY ODETA
NPI
1447409255
Phone
(812) 546-6000
Address
163 BUTNER DR
Enumeration Date
17 September 2008
Last Update Date
27 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3177394848
Graduation Year
2007 (19 years ago)
PAC ID
1254573256
Group Practice PAC ID
8426965039
Professional Enrollment ID
I20260205000639
Address ID
IN461317308FR55XXXDRXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:17State licenses:2Digital endpointsOther names

2,861 FAMILY PRACTICE in IN

Provider Addresses for JOY ODETA

  • 163 BUTNER DR

    HOPE, IN 472469447

    Phone: (812) 546-6000

    Type: Location

  • PO BOX 69004

    ALEXANDRIA, LA 713069004

    Phone: (318) 473-0010

    Fax: (318) 466-4012

    Type: Mailing

  • Shreveport Highway, Pineville, Rapides Parish, Louisiana, 71360, United States

    PINEVILLE, LA 713604044

    Phone: (318) 473-0010

    Fax: (318) 466-4010

    Type: Location

  • 2495 Shreveport Hwy

    Pineville, LA 713604044

    Phone: (318) 473-0010

    Fax: (318) 466-4010

    Type: Location

  • 14 TRAFALGAR SQ

    TRAFALGAR, IN 461819515

    Phone: (317) 739-4895

    Fax: (317) 878-2355

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 74 Open Payments records for all available years, with a total value of $1,270.

Total Amount is formed as General ($1,270) + Research ($0) + Ownership ($0) = $1,270.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Exact Sciences Corporation ($145).

Total Amount

$1,270

General + Research + Ownership

Payments

74

Total payment records

General Amount

$1,270

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2026-02-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20260205000639IFamily PracticeINTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 47246)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8426965039View full group profile
NameSpecialtyState
Family PracticeIN
Internal MedicineIN
Family PracticeIN
-IN
Family PracticeIN
-IN
Nurse PractitionerIN
Mental Health CounselorIN
Clinical Social WorkerIN
Family PracticeIN

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

How do payers reference JOY ODETA?
For JOY ODETA, use NPI 1447409255 as the unique 10-digit identifier.
Active or inactive — what applies to JOY ODETA?
You should see JOY ODETA as active in CMS-hosted NPPES data.
How would a patient describe JOY ODETA's focus?
For JOY ODETA, the primary taxonomy reads as Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with JOY ODETA?
Directory geography for JOY ODETA centers on Hope, Indiana.
What does 5 location(s) imply?
5 practice locations appear in the available data.

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