DR. JENNIFER ODUTOLA (MD) – Rheumatology Physician, NPI 1750397725

DR. JENNIFER ODUTOLA (MD) is a healthcare provider. based in Leesburg, Virginia. specializing in RHEUMATOLOGY. They hold the professional credentials MD. They hold a License No. 0101234395 (VA). The NPI Number for DR. JENNIFER ODUTOLA (MD) is 1750397725

Main info

Female
31 Years Of Experience
Accepts Medicare Assignment
Name
DR. JENNIFER ODUTOLA (MD)
NPI
1750397725
Phone
(703) 723-3398
Address
19465 DEERFIELD AVE STE 309
Enumeration Date
31 July 2006
Last Update Date
5 December 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7037233398
Graduation Year
1995 (31 years ago)
PAC ID
0547283897
Group Practice PAC ID
9931122280
Professional Enrollment ID
I20060112000538
Address ID
VA201763692LA19500WAYX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

177 RHEUMATOLOGY in VA

Provider Addresses for DR. JENNIFER ODUTOLA (MD)

  • 19465 DEERFIELD AVE STE 309

    LEESBURG, VA 201761705

    Phone: (703) 723-3398

    Fax: (703) 723-7464

    Type: Location

  • 224D CORNWALL ST NW STE 403

    LEESBURG, VA 201762704

    Phone: (703) 443-6717

    Fax: (703) 443-8643

    Type: Mailing

  • 205 East Hirst Road Suite 304

    Purcellville, VA 201326602

    Phone: (703) 723-3398

    Fax: (703) 723-7464

    Type: Location

  • 24430 Stone Springs Blvd Unit 100

    Dulles, VA 201662269

    Phone: (037) 233-3987

    Fax: (703) 723-7464

    Type: Location

  • 19500 SANDRIDGE WAY STE 170

    LANSDOWNE, VA 201763692

    Phone: (703) 723-3398

    Fax: (703) 723-7464

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 333 Open Payments records for all available years, with a total value of $7,503.

Total Amount is formed as General ($7,503) + Research ($0) + Ownership ($0) = $7,503.

Last reported payment date: 2024-12-26 • Largest payer in this snapshot: Amgen Inc. ($961).

Total Amount

$7,503

General + Research + Ownership

Payments

333

Total payment records

General Amount

$7,503

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-26

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: 2006-01-12

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
I20060112000538IRheumatologyVATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J1602Injection, golimumab, 1 mg, for intravenous use9,60013$0
J0897Injection, denosumab, 1 mg4,44048$0
J1200Injection, diphenhydramine hcl, up to 50 mg77517$0
J1030Injection, methylprednisolone acetate, 40 mg73522$0
99214Established patient office or other outpatient visit, 30-39 minutes706284$0
View full utilization report →

Insurance plans in this area (ZIP 20176)

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Provider's Procedures

DR. JENNIFER ODUTOLA (MD) performs procedures in RHEUMATOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
RHEUMATOLOGYVA20610Aspiration and/or injection of large joint or joint capsule9637
RHEUMATOLOGYVA96367Infusion into a vein for therapy prevention or diagnosis additional sequential infusion up to 1 hour3611

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: 9931122280View full group profile
NameSpecialtyState
Rheumatology, Internal MedicineVA

Reviews

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Frequently asked questions

What unique ID ties claims to DR. JENNIFER ODUTOLA (MD)?
NPI 1750397725 is assigned to DR. JENNIFER ODUTOLA (MD) under the national enumeration system.
Is DR. JENNIFER ODUTOLA (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is DR. JENNIFER ODUTOLA (MD)?
The page reflects Rheumatology Physician for DR. JENNIFER ODUTOLA (MD). Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. JENNIFER ODUTOLA (MD)?
The page summarizes Leesburg, Virginia for DR. JENNIFER ODUTOLA (MD); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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