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

Dr. Melvin Emeka Omodon, MD

Individual provider Diagnostic Radiology Physician · NPI 1902192438

Dr. Melvin Emeka Omodon, MD is a Diagnostic Radiology in Lakeland, Florida. Qualified in 2011, 15 years ago. Practices with Good Samaritan Regional Health Center, a 155-clinician group and works from 2 locations. Licensed in Florida, Illinois, Massachusetts and Michigan and 1 more.

Years since qualifying
15
Licensed in
FL, IL, MA, MI, NJ
In the registry since
2011
Specialties on file
6
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

1600 Lakeland Hills Blvd
Lakeland, FL 33805-3019
Phone: (863) 680-7000
Fax: (866) 264-8519
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1025 S 6th St, Springfield, IL 62703-2499 — (217) 528-7541

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 25IA12313800 (NJ)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 036146488 (IL)
Neurological Surgery Physician Taxonomy 207T00000X · Licence 4301099187 (MI)
Vascular & Interventional Radiology Physician Taxonomy 2085R0204X · Licence ME140585 (FL)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 269481 (MA)
Vascular & Interventional Radiology Physician Taxonomy 2085R0204X · Licence 036146488 (IL)

Record details

NPI number1902192438
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 23, 2011
Last updated in NPPESNovember 14, 2025
Certification dateNovember 14, 2025

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Good Samaritan Regional Health Center — 155 clinicians
Accepts Medicare assignment Not indicated
Practice locations19 on file with Medicare

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