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PERMIAN BASIN KIDNEY CENTER INC
NPI 1285199026
Internal Medicine - Nephrology in Odessa, TX

Active since February 06, 2019
410 N HANCOCK AVE, ODESSA, TX 79761(432) 279-0905(432) 279-0904 Get Directions Write a Review

NPPES record last updated: December 8, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 8, 2022, Feb 6, 2019 (2 updates tracked since 2019).

About Permian Basin Kidney Center Inc NPPES

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

PERMIAN BASIN KIDNEY CENTER INC (NPI 1285199026) is a healthcare organization registered as a nephrology in Odessa, Texas and active in the NPI registry since February 2019. The organization lists Anand Reddy, Owner, as its authorized official.

NPPES Registry Identity

NPI1285199026
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NamePERMIAN BASIN KIDNEY CENTER INC
Location Address410 N HANCOCK AVEOdessa, TX 79761-5140
Mailing Address410 N Hancock AveOdessa, TX 79761-5140 · (432) 279-0905 · Fax (432) 279-0904
Phone(432) 279-0905
Fax(432) 279-0904
Organization SubpartNo
Authorized OfficialAnand ReddyOwner · (314) 378-7270
Enumeration DateFebruary 6, 2019
Last NPPES UpdateDecember 8, 20222 updates tracked since enumeration
NPPES CertifiedDecember 8, 2022
✔ NPI 1285199026 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
410 N HANCOCK AVE, Odessa, TX 79761
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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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Permian Basin Kidney Center Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Permian Basin Kidney Center Inc, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Anand Reddy, MD
Nephrology
NPI 1780892760
410 N HANCOCK AVE
Odessa, TX 79761
(432) 279-0905
✔ PECOS✔ Accepts MedicareSame address
Jennifer James, NP
Nurse Practitioner
NPI 1770830721
410 N HANCOCK AVE
Odessa, TX 79761
(432) 279-0905
✔ PECOSSame address
Esperanza Salinas, FNP
Nurse Practitioner
NPI 1710730775
410 N HANCOCK AVE
Odessa, TX 79761
(432) 279-0905
✔ PECOS✔ Accepts MedicareSame address
Asif Ansari, MD
Nephrology
NPI 1528299872
401 N. TOM GREEN PERMIAN BASIN KIDNEY CENTER
Odessa, TX 79761
(432) 279-0905
✔ PECOS✔ Accepts MedicareSame address
Tiffany Vaught, FNP
Nurse Practitioner
NPI 1023444163
605 E 4TH ST STE 203
Odessa, TX 79761
(432) 617-8329
✔ PECOS✔ Accepts Medicare0.2 mi
Suezette Hamilton
Nurse Practitioner
NPI 1710773213
207 TRADEWINDS BLVD STE B
Midland, TX 79706
(432) 687-4044
✔ PECOS15 mi
Rachel Milan
Nurse Practitioner
NPI 1902754013
207 TRADEWINDS BLVD
Midland, TX 79706
(432) 687-4044
✔ PECOS16 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 Permian Basin Kidney Center Inc's NPI number?

The NPI number for Permian Basin Kidney Center Inc is 1285199026. It was assigned to this organization in the NPPES registry on February 6, 2019.

Where is Permian Basin Kidney Center Inc located?

Permian Basin Kidney Center Inc is located at 410 N Hancock Ave, Odessa, TX 79761. The listed phone number is (432) 279-0905.

What is Permian Basin Kidney Center Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Permian Basin Kidney Center Inc enrolled in Medicare?

Yes. Permian Basin Kidney Center Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Permian Basin Kidney Center Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 2 Medicare specialties reassign their Medicare billing to Permian Basin Kidney Center Inc. 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. The largest specialties are Nurse Practitioner (5) and Nephrology (2). Of these, 4 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Permian Basin Kidney Center Inc was last updated on December 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.