DR. ANDREW JAMES ODLAND (D.O.) – Student in an Organized Health Care Education/Training Program, NPI 1063117745

DR. ANDREW JAMES ODLAND (D.O.) is a healthcare provider. based in Tulsa, Oklahoma. specializing in FAMILY PRACTICE. They hold the professional credentials D.O.. The NPI Number for DR. ANDREW JAMES ODLAND (D.O.) is 1063117745

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
DR. ANDREW JAMES ODLAND (D.O.)
NPI
1063117745
Phone
(918) 582-1980
Address
2345 SOUTHWEST BLVD
Enumeration Date
3 April 2023
Last Update Date
4 April 2023

Doctor Profile

Medical School Name
PACIFIC NW UN OF HS, COL OF OSTEOPATHIC MEDICINE
Secondary Phone
9188577246
Graduation Year
2022 (4 years ago)
PAC ID
2365977220
Group Practice PAC ID
8628390515
Professional Enrollment ID
I20241202001375
Address ID
OK741463629TU4110XAVEX501
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience21
Completeness75
Years active:3State licenses:0Digital endpointsOther names

1,775 FAMILY PRACTICE in OK

Provider Addresses for DR. ANDREW JAMES ODLAND (D.O.)

  • 2345 SOUTHWEST BLVD

    TULSA, OK 741072705

    Phone: (918) 582-1980

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $58.

Total Amount is formed as General ($58) + Research ($0) + Ownership ($0) = $58.

Last reported payment date: 2024-10-25 • Largest payer in this snapshot: Exact Sciences Corporation ($21).

Total Amount

$58

General + Research + Ownership

Payments

3

Total payment records

General Amount

$58

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-25

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2024-12-02

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
I20241202001375IFamily PracticeOKTBD

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 74107)

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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: 8628390515View full group profile
NameSpecialtyState
Family PracticeOK
Nurse PractitionerOK
Nurse PractitionerOK
Nurse PractitionerOK
Interventional Radiology, Diagnostic RadiologyOK
Family PracticeOK
Nurse PractitionerOK
-OK
Nurse PractitionerOK

Reviews

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Frequently asked questions

Can I verify DR. ANDREW JAMES ODLAND (D.O.) with an NPI only?
You can start verification with NPI 1063117745 for DR. ANDREW JAMES ODLAND (D.O.), then check state licensing separately.
Does the file indicate DR. ANDREW JAMES ODLAND (D.O.) is practicing under active NPI?
Directory data currently reports DR. ANDREW JAMES ODLAND (D.O.) as active.
What is DR. ANDREW JAMES ODLAND (D.O.)'s primary classification?
Student in an Organized Health Care Education/Training Program is the headline specialty for DR. ANDREW JAMES ODLAND (D.O.) here. Clinical services aligned with this taxonomy classification.
Does DR. ANDREW JAMES ODLAND (D.O.) list a practice location?
Patients near Tulsa, Oklahoma may find DR. ANDREW JAMES ODLAND (D.O.) in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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