MCH TRAUMACARE
NPI 1043956915
Surgery in Odessa, TX

Active since May 12, 2022
540 W 5TH ST STE 330, ODESSA, TX 79761(432) 640-3445 Get Directions Write a Review

NPPES record last updated: September 26, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 26, 2024, May 12, 2022 (2 updates tracked since 2022).

About Mch Traumacare NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MCH TRAUMACARE (NPI 1043956915) is a healthcare organization registered as a surgery in Odessa, Texas and active in the NPI registry since May 2022. The organization maintains a secondary practice location in Odessa and lists Garret Davis, Secretary, as its authorized official.

NPPES Registry Identity

NPI1043956915
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameMCH TRAUMACARE
Location Address540 W 5TH ST STE 330Odessa, TX 79761-5065
Mailing Address540 W 5th St Ste 330Odessa, TX 79761-5065 · (432) 640-3445
Organization SubpartNo
Authorized OfficialGarret DavisSecretary · (432) 640-2414
Enumeration DateMay 12, 2022
Last NPPES UpdateSeptember 26, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 26, 2024
✔ NPI 1043956915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedNurse PractitionerTaxonomy 363L00000X
540 W 5TH ST STE 330, Odessa, TX 79761

Secondary Practice Location 1

Location 1500 W 4th StOdessa, TX 79761-5001 · Phone (432) 640-4000 ext. 3445

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mch Traumacare is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Mch Traumacare, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (6)

General Surgery
NPI 1255728671
540 W 5TH ST STE 340
Odessa, TX 79761
(432) 640-3445
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1841219540
540 W 5TH ST STE 340
Odessa, TX 79761
(432) 640-3445
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1710912860
500 W FORTH ST
Odessa, Texas 79761, TX 78215
(432) 640-1184
✔ PECOS✔ Accepts Medicare285 mi
General Surgery
NPI 1073889523
1325 PENNSYLVANIA AVE STE 690
Fort Worth, TX 76104
(817) 761-7740
✔ PECOS✔ Accepts Medicare301 mi
General Surgery
NPI 1699770552
3608 PRESTON RD STE 150
Plano, TX 75093
(972) 566-4040
✔ PECOS✔ Accepts Medicare336 mi
General Surgery
NPI 1760423214
22 S GREENE ST
Baltimore, MD 21201
(410) 328-6704
✔ PECOS✔ Accepts Medicare1,532 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mch Traumacare's NPI number?

The NPI number for Mch Traumacare is 1043956915. It was assigned to this organization in the NPPES registry on May 12, 2022.

Where is Mch Traumacare located?

Mch Traumacare is located at 540 W 5th St Ste 330, Odessa, TX 79761. The listed phone number is (432) 640-3445.

What is Mch Traumacare's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Mch Traumacare enrolled in Medicare?

Yes. Mch Traumacare is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mch Traumacare?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians, all in General Surgery, reassign their Medicare billing to Mch Traumacare. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Mch Traumacare was last updated on September 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.