DR. ANTHONY OMAVUAYE ODIBO (MD) – Maternal & Fetal Medicine Physician, NPI 1700889516
Maternal & Fetal Medicine Physician
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NPPES metrics only — not quality of care.
929 OBSTETRICS/GYNECOLOGY in MO
Provider Addresses for DR. ANTHONY OMAVUAYE ODIBO (MD)
PO BOX 60352
SAINT LOUIS, MO 631600352
Phone: (314) 454-8181
Fax: (314) 747-1429
Type: Mailing
4901 FOREST PARK AVE
DIV OBGYN MFM AND US, STE 710
SAINT LOUIS, MO 631081495
Phone: (314) 454-8181
Fax: (314) 747-1429
Type: Location
Tampa General Circle, Harbour Island, Tampa, Hillsborough County, Florida, 33606, United States
STC 4TH FLOOR
TAMPA, FL 336063603
Phone: (813) 259-8500
Fax: (813) 259-8593
Type: Location
Pop in a Box, 800, Avenida Presidente Juscelino Kubitscheck de Oliveira, Jardim Panorama, São José do Rio Preto, Região Imediata de São José do Rio Preto, Região Geográfica Intermediária de São José do Rio Preto, São Paulo, Southeast Region, 15092-450, Brazil
ORLANDO, FL 328917770
Phone:
Type: Mailing
660 S EUCLID AVE
MSC 8064-37-1005
SAINT LOUIS, MO 631101010
Phone: (314) 454-8181
Fax: (314) 747-1429
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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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: 2021-11-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20060213000081 | I | Obstetrics/Gynecology | MO | TBD |
| I20211109002540 | I | Obstetrics/Gynecology | IL | TBD |
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.
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 63160)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | DC | |
| D E R M A T O L O G Y | MO | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MO | |
| Internal Medicine | MO | |
| - | MO | |
| P S Y C H I A T R Y | MO | |
| P S Y C H I A T R Y | MO | |
| Orthopedic Surgery | MO | |
| Orthopedic Surgery | PA | |
| P S Y C H I A T R Y | MO |
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