CARL IRWIN ODOM MD NPI 1740523513

NPI Information

  • NPI: 1740523513
  • Provider Name: CARL IRWIN ODOM, MD
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 620 W HAYS ST
    BOISE, ID
    ZIP 83702
  • Phone: (208) 381-2094

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NPI Details

Carl Irwin Odom, MD is a diagnostic radiology radiology in Boise, ID with 13 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Carl Irwin Odom, MD NPI is 1740523513. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Graduation Year:2013

The provider's business location address is:

620 W HAYS ST
BOISE, ID
ZIP 83702-511
Phone: (208) 381-2094
Fax: (208) 381-1791

The NPI 1740523513 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml (HCPCS:Q9967)
  • Lutetium lu 177 vipivotide tetraxetan, therapeutic, 1 millicurie (HCPCS:A9607)
  • Nuclear medicine study from skull base to mid-thigh with ct scan (HCPCS:78815)
  • X-ray of chest, 1 view (HCPCS:71045)
  • Gallium ga-68 gozetotide, diagnostic, (illuccix), 1 millicurie (HCPCS:A9596)
  • Gallium ga-68, dotatate, diagnostic, 0.1 millicurie (HCPCS:A9587)
  • Ct scan of chest with contrast (HCPCS:71260)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries (HCPCS:A9552)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Ct scan of chest without contrast (HCPCS:71250)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries (HCPCS:A9503)
  • Ct scan of blood vessels of chest with contrast (HCPCS:71275)
  • Nuclear medicine study of bone and/or joint whole body (HCPCS:78306)
  • Piflufolastat f-18, diagnostic, 1 millicurie (HCPCS:A9595)
  • Ct scan of chest with contrast (HCPCS:71260)
  • Nuclear medicine study whole body with ct scan (HCPCS:78816)
  • Ct scan of chest without contrast (HCPCS:71250)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • Ultrasound scan of head and neck soft tissue (HCPCS:76536)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • Nuclear medicine study of lung ventilation and circulation (HCPCS:78582)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • Dxa bone density measurement of hip, pelvis, spine (HCPCS:77080)
  • X-ray of pelvis, 1-2 views (HCPCS:72170)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • X-ray of lower and sacral spine, minimum of 4 views (HCPCS:72110)
  • X-ray of chest, 2 views (HCPCS:71046)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Nuclear medicine study of bone and/or joint whole body (HCPCS:78306)
  • Ct scan of lower spine without contrast (HCPCS:72131)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • Complete ultrasound scan of abdomen (HCPCS:76700)
  • Limited ultrasound scan of abdomen (HCPCS:76705)
  • Ct scan of abdomen and pelvis before and after contrast (HCPCS:74178)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • X-ray of knee, 3 views (HCPCS:73562)
  • X-ray of abdomen, 2 views (HCPCS:74019)
  • X-ray of upper spine, 2-3 views (HCPCS:72040)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • Nuclear medicine study of bone taken at different times (HCPCS:78315)
  • Radioactive drug therapy through a vein (HCPCS:79101)
  • Positron emission tomography radiopharmaceutical, diagnostic, for tumor identification, not otherwise classified (HCPCS:A9597)
  • Ct scan of pelvis without contrast (HCPCS:72192)
  • Ct scan of middle spine without contrast (HCPCS:72128)
  • Ct scan of blood vessels of abdomen and pelvis with contrast (HCPCS:74174)
  • Ct scan of blood vessels of chest with contrast (HCPCS:71275)
  • Nuclear medicine study of liver and bile duct system (HCPCS:78226)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • Nuclear medicine study, 1 area with spect (HCPCS:78803)

The enumeration date for this NPI number is 3/31/2013 and was last updated on 9/12/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic RadiologyT0301TEXASYes
2390200000XStudent in an Organized Health Care Education/Training ProgramNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1371653203MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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