Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Marek A Odehnal, MD

Individual provider Internal Medicine Physician · NPI 1780643262

Dr. Marek A Odehnal, MD is an Internal Medicine in Longmont, Colorado. Qualified in 1996, 30 years ago. Practices with Poudre Valley Medical Group LLC, a 2,416-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Colorado and Indiana.

Years since qualifying
30
Licensed in
CO, IN
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1925 Mountain View Ave
Longmont, CO 80501-3128
Phone: (720) 494-3126
Fax: (720) 718-8025
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence DR.0053285 (CO)
Internal Medicine Physician Taxonomy 207R00000X · Licence 01060578 (IN)

Record details

NPI number1780643262
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 22, 2006
Last updated in NPPESNovember 5, 2021
Certification dateNovember 5, 2021
Mailing address1925 Mountain View Ave, Longmont, CO 80501-3128

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Poudre Valley Medical Group Llc — 2416 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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