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

Kayode Odutayo, MD

Individual provider Hospitalist Physician · NPI 1790118875

Kayode Odutayo, MD is an Internal Medicine in Bronx, New York. Qualified in 2006, 20 years ago. Practices with Southwest Suffolk Medical PC, a 200-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
20
Licensed in
NY
In the registry since
2013
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

1650 Grand Concourse
Bronx, NY 10457-7679
Phone: (718) 992-7669
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1000 Pelham Pkwy S, Bronx, NY 10461-1003 — (631) 209-5369

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 296259 (NY)
Hospitalist Physician Taxonomy 208M00000X · Licence 296259 (NY)

Record details

NPI number1790118875
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 13, 2013
Last updated in NPPESJuly 17, 2024
Certification dateJuly 17, 2024
Mailing address150 Motor Pkwy Ste 4012324, Hauppauge, NY 11788-5145

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Southwest Suffolk Medical Pc — 200 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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