Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1174885834 Individual Practitioner Male Practitioner

Dr. Olamide Odubogun , MD

Pediatrics • Mount Kisco, NY

Professional Overview & Biography Verified Profile Summary

Dr. Olamide Odubogun, MD is a registered healthcare professional specializing in Pediatrics in Mount Kisco, NY. Practice services are available at 110 S BEDFORD RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

110 S Bedford Rd

Mount Kisco, NY 105493446

Telephone 9142411050
Associated Practice Facility / Clinic
🏢 Ameripath New York Llc Facility NPI 1962223370

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Mount Kisco, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 25.2 Yrs
State Avg: 24.1 Yrs
Regional Practice Density
19 Specialists

Practicing in Mount Kisco, NY (6127 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-06-23
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License NY 297359

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Secondary Practice Locations

618 Cornwall Rd, Building 2

Lebanon, PA 170427089

Phone: 7172796700

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Kimberly Chu , MD

Pathology - Anatomic Pathology & Clinical Pathology

NPI 1003828757

Doctor of Medicine (M.D.)

Dr. Paul Kandel , MD

Internal Medicine

NPI 1013960194

Doctor of Medicine (M.D.)

Dr. Eugene Tolunsky , MD

Psychiatry & Neurology - Neurology

NPI 1023057783

Doctor of Medicine (M.D.)

Dr. Albert Szabo , MD

Psychiatry & Neurology - Neurology

NPI 1023058666

Doctor of Medicine (M.D.)

Jaclyn Sylvia , PA-C

Physician Assistant

NPI 1023294287

Physician Assistant (Certified)

NPI 1043218571

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location June 23, 2026

Registered at 110 S BEDFORD RD, MOUNT KISCO, NY 105493446 (Tel: 9142411050)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 23, 2026

Pediatrics (License #297359 in NY)

NPI Profile Active July 31, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location July 31, 2015

Registered at 618 CORNWALL RD, BUILDING 2, LEBANON, PA 170427089 (Tel: 7172796700)

📍
Updated Business Mailing Address July 31, 2015

Registered at PO BOX 300, LEBANON, PA 170420300 (Tel: 7172707780)

👤
Provider Name / Credentials Updated July 31, 2015

Recorded as OLAMIDE ODUBOGUN, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 31, 2015

Pediatrics (License #MD454061 in PA)

🟢
Initial NPI Registration & Enumeration June 08, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1174885834
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 08, 2012
Last Update: June 23, 2026
Sole Proprietor: No

Mailing Address

Po Box 300

Lebanon, PA 170420300

Phone: 7172707780

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.