DONALD D DAVENPORT JR D O P A
NPI 1053435362
Surgery - Surgical Critical Care in Odessa, TX

Q: What is Donald D Davenport Jr D O P A's NPI number?

The NPI number for Donald D Davenport Jr D O P A is 1053435362. It was assigned to this organization in the NPPES registry on March 19, 2007.

Q: What is Donald D Davenport Jr D O P A's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Critical Care, with taxonomy code 2086S0102X.

Active since March 19, 2007

540 W 5TH ST STE 470, ODESSA, TX 79761(432) 580-8330(432) 580-8333 Get Directions Write a Review

NPPES record last updated: April 14, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Donald D Davenport Jr D O P A NPPES

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

DONALD D DAVENPORT JR D O P A (NPI 1053435362) is a healthcare organization registered as a surgical critical care in Odessa, Texas and active in the NPI registry since March 2007. The organization lists Donald D Davenport, Owner Physician, as its authorized official.

NPPES Registry Identity

NPI1053435362

Entity TypeOrganization

Primary Taxonomy2086S0102X

Legal Business NameDONALD D DAVENPORT JR D O P A

Location Address540 W 5TH ST STE 470Odessa, TX 79761-5070

Mailing Address540 W 5th St Ste 470Odessa, TX 79761-5070 · (432) 580-8330 · Fax (432) 580-8333

Phone(432) 580-8330

Fax(432) 580-8333

Organization SubpartNo

Authorized OfficialDonald D DavenportOwner Physician · (432) 580-8330

Enumeration DateMarch 19, 2007

Last NPPES UpdateApril 14, 2008

✔ NPI 1053435362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtySurgery · Surgical Critical CareAllopathic & Osteopathic Physicians

Taxonomy Code2086S0102X

License✔ Licensed in TX · L0118

Definition

A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Also ListedSurgeryTaxonomy 208600000X · License L0118 (TX)

Also ListedSurgery · Pediatric SurgeryTaxonomy 2086S0120X · License L0118 (TX)

Also ListedSurgery · Trauma SurgeryTaxonomy 2086S0127X · License L0118 (TX)

Also ListedSurgery · Surgical OncologyTaxonomy 2086X0206X · License L0118 (TX)

Also ListedColon & Rectal SurgeryTaxonomy 208C00000X · License L0118 (TX)

540 W 5TH ST STE 470, Odessa, TX 79761

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Other Identifiers 3

Other0017HGTX · Group # Bcbs

Medicare ID-Type Unspecified00455QTX · Mcare

Medicare UPINH24490TX

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)

Donald D Davenport Jr D O P A is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Donald D Davenport Jr D O P A, which bills Medicare for the services this clinician delivers.

Clinician (1)

Donald Davenport, D.O.

General Surgery

NPI 1982608964

540 W 5TH ST STE 470
Odessa, TX 79761

(432) 580-8330

✔ PECOS✔ Accepts MedicareSame address

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 Donald D Davenport Jr D O P A's NPI number?

The NPI number for Donald D Davenport Jr D O P A is 1053435362. It was assigned to this organization in the NPPES registry on March 19, 2007.

Where is Donald D Davenport Jr D O P A located?

Donald D Davenport Jr D O P A is located at 540 W 5th St Ste 470, Odessa, TX 79761. The listed phone number is (432) 580-8330.

What is Donald D Davenport Jr D O P A's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Critical Care, with taxonomy code 2086S0102X.

Is Donald D Davenport Jr D O P A enrolled in Medicare?

Yes. Donald D Davenport Jr D O P A is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Donald D Davenport Jr D O P A?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Surgery) reassigns their Medicare billing to Donald D Davenport Jr D O P A. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Donald D Davenport Jr D O P A was last updated on April 14, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.