PERMIAN INTERNAL MEDICINE ASSOCIATES
NPI 1114012283
Internal Medicine in Odessa, TX

Active since October 04, 2006CLIA 45D1036359 · Waiver
601 E 2ND SUITE A, ODESSA, TX 79761(432) 332-3400(432) 332-6500 Get Directions Write a Review

NPPES record last updated: September 24, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Permian Internal Medicine Associates NPPES

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

PERMIAN INTERNAL MEDICINE ASSOCIATES (NPI 1114012283) is a healthcare organization registered as an internal medicine in Odessa, Texas and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through January 26, 2027 and lists Suresh Prasad, Physician, as its authorized official.

NPPES Registry Identity

NPI1114012283
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSURESH PRASAD MD PA
Location Address601 E 2ND SUITE AOdessa, TX 79761
Mailing AddressPo Box 4147Odessa, TX 79760 · (432) 332-3400 · Fax (432) 332-6500
Fax(432) 332-6500
Organization SubpartNo
Authorized OfficialSuresh PrasadPhysician · (432) 332-3400
Enumeration DateOctober 4, 2006
Last NPPES UpdateSeptember 24, 2007
NPI 1114012283 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in TX · K8430
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
601 E 2ND SUITE A, Odessa, TX 79761

Other Names 1

Doing Business AsPermian Internal Medicine Associates

Other Identifiers 2

Other0078LWTX · Blue Cross Blue Shield
Medicare PIN00537W

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D1036359

Permian Internal Medicine Associates · Odessa, TX
Active · expires Jan 26, 2027
CLIA Number45D1036359
Laboratory TypePhysician Office
Certificate Effective DateJanuary 27, 2025
Certificate Expiration DateJanuary 26, 2027
Laboratory DirectorSuresh Prasad
Laboratory Phone(432) 332-3400
Laboratory LocationPermian Internal Medicine Associates403 Pittsburg Avenue, Odessa, TX 79761
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Suresh Prasad MD PA's NPI number?

The NPI number for Suresh Prasad MD PA is 1114012283. It was assigned to this organization in the NPPES registry on October 4, 2006. The provider is doing business as Permian Internal Medicine Associates.

Where is Suresh Prasad MD PA located?

Suresh Prasad MD PA is located at 601 E 2nd Suite A, Odessa, TX 79761. The listed phone number is (432) 332-3400.

What is Suresh Prasad MD PA's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Suresh Prasad MD PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D1036359) is associated with this NPI, valid through January 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Suresh Prasad MD PA was last updated on September 24, 2007. 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.