JONAH N.K. ODIM MD PHD NPI 1811000565

NPI Information

  • NPI: 1811000565
  • Provider Name: JONAH N.K. ODIM, MD, PHD
  • Classification: Thoracic Surgery (Cardiothoracic Vascular Surgery) - 208G00000X
  • Entity Type: Individual
  • Address: 9801 TRAVILLE COMMONS DR
    THE JNKO GROUP, LLC SUITE 302
    ROCKVILLE, MD
    ZIP 20850
  • Phone: (301) 340-2823

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NPI Details

Jonah N.k. Odim, MD, PHD is a thoracic surgery cardiothoracic vascular surgery in Rockville, MD. The provider is a thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. Jonah N.k. Odim, MD, PHD NPI is 1811000565. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

9801 TRAVILLE COMMONS DR
THE JNKO GROUP, LLC SUITE 302
ROCKVILLE, MD
ZIP 20850-493
Phone: (301) 340-2823

The enumeration date for this NPI number is 8/16/2006 and was last updated on 9/11/2025.

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
1208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)G83772CALIFORNIANo
2207RC0200XInternal MedicineCritical Care MedicineD0065408MARYLANDNo
32086S0102XSurgerySurgical Critical CareD0065408MARYLANDNo
4208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)D0065408MARYLANDYes

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
100G837720OTHERCALIFORNIAMEDICAL PPIN #

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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