ODAM MEDICAL GROUP - ST. CLOUD – Primary Care Clinic/Center, NPI 1902392525

ODAM MEDICAL GROUP - ST. CLOUD is a healthcare provider. based in Minneapolis, Minnesota. specializing in Primary Care Clinic/Center. The NPI Number for ODAM MEDICAL GROUP - ST. CLOUD is 1902392525

Main info

Organization
Name
ODAM MEDICAL GROUP - ST. CLOUD
NPI
1902392525
Phone
(612) 871-2312
Address
920 E 28TH ST # LL40
Authorized Official
DR. ROBERT LARBI-ODAM CEO
Enumeration Date
6 July 2018
Last Update Date
11 March 2025
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness80
Years active:7State licenses:0Digital endpointsUpdated within 12 months

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Provider Addresses for ODAM MEDICAL GROUP - ST. CLOUD

  • 920 E 28TH ST # LL40

    MINNEAPOLIS, MN 554071139

    Phone: (612) 871-2312

    Fax: (612) 871-2163

    Type: Mailing

  • 3405, 3rd Street North, St. Cloud, Stearns County, Minnesota, 56303, United States

    SAINT CLOUD, MN 563034015

    Phone: (612) 871-2312

    Fax: (612) 871-2163

    Type: Location

  • 435 Main St W Ste B

    Rice, MN 563679516

    Phone: (320) 774-3800

    Fax: (320) 774-3360

    Type: Location

  • 1521 NORTHWAY DR STE 116

    SAINT CLOUD, MN 563031274

    Phone: (320) 774-3800

    Fax: (320) 774-3360

    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.

No Medicare enrollment or revalidation data available for this provider in our database.

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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 55407)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for ODAM MEDICAL GROUP - ST. CLOUD?
ODAM MEDICAL GROUP - ST. CLOUD — NPI 1902392525 — is the standard way to identify this listing.
Does CMS list ODAM MEDICAL GROUP - ST. CLOUD as active?
Yes — ODAM MEDICAL GROUP - ST. CLOUD is active in the NPI listing used on this page.
What is ODAM MEDICAL GROUP - ST. CLOUD's specialty?
The listing groups ODAM MEDICAL GROUP - ST. CLOUD with Primary Care Clinic/Center. Clinical services aligned with this taxonomy classification.
Does ODAM MEDICAL GROUP - ST. CLOUD list a practice location?
Patients near Minneapolis, Minnesota may find ODAM MEDICAL GROUP - ST. CLOUD in results; validate coverage separately.
Why does ODAM MEDICAL GROUP - ST. CLOUD have multiple addresses?
5 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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