ODOCHI ARIWODO – Acute Care Nurse Practitioner, NPI 1356896013
Acute Care Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
22,209 NURSE PRACTITIONER in TX
Provider Addresses for ODOCHI ARIWODO
6720 Bertner Ave
Suite 0520
Houston, TX 770302604
Phone: (832) 355-2666
Type: Location
703 S Fleishel Ave Ste 5000
Tyler, TX 757012015
Phone: (903) 252-2992
Type: Location
Baylor St. Luke's Medical Center, 6720, Bertner Avenue, Texas Medical Center, Houston, Harris County, Texas, 77030, United States
SUITE 0520
HOUSTON, TX 770302604
Phone: (832) 355-2666
Type: Mailing
505 PARNASSUS AVE STE M917
SAN FRANCISCO, CA 941432204
Phone: (415) 353-1116
Fax: (415) 353-1990
Type: Mailing
13431 GOLDEN PLANTATION LN
ROSHARON, TX 775831720
Phone: (770) 910-5388
Fax: (770) 764-2036
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.
This can happen when there are no reportable CMS Open Payments records.
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: 2024-02-19
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 |
|---|---|---|---|---|
| I20161117001922 | I | Nurse Practitioner | TX | TBD |
| I20240219003569 | I | Nurse Practitioner | CA | 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 77030)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | IL | |
| Anesthesiology, Critical Care (Intensivists) | TX | |
| A N E S T H E S I O L O G Y | TX | |
| - | TX | |
| Diagnostic Radiology | TX | |
| Physician Assistant | TX | |
| Certified Nurse Midwife (Cnm) | TX | |
| O T O L A R Y N G O L O G Y | TX | |
| Physician Assistant | TX | |
| Physician Assistant | TX |
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