1. Home
  2. Directory
  3. Texas
  4. Odessa
  5. Internal Medicine
  6. NPI Profile

PERMIAN HEART CLINIC
NPI 1285794289
Internal Medicine - Cardiovascular Disease in Odessa, TX

Active since December 11, 2006
420 E 6TH ST, STE 102, ODESSA, TX 79761(432) 685-3333(432) 570-5440 Get Directions Write a Review

NPPES record last updated: October 21, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Permian Heart Clinic NPPES

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

PERMIAN HEART CLINIC (NPI 1285794289) is a healthcare organization registered as a cardiovascular disease in Odessa, Texas and active in the NPI registry since December 2006. The organization lists Ramachandra Rao Kolluru, President, as its authorized official.

NPPES Registry Identity

NPI1285794289
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameRAM KOLLURU,M.D.PA
Location Address420 E 6TH ST, STE 102Odessa, TX 79761-4529
Mailing Address5 Santa Maria CtOdessa, TX 79765-8515 · (432) 685-3333 · Fax (432) 570-5440
Phone(432) 685-3333
Fax(432) 570-5440
Organization SubpartNo
Authorized OfficialRamachandra Rao KolluruPresident · (432) 685-3333
Enumeration DateDecember 11, 2006
Last NPPES UpdateOctober 21, 2015
✔ NPI 1285794289 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
420 E 6TH ST, Odessa, TX 79761
Open in Google Maps ↗

Other Names 1

Doing Business AsPermian Heart Clinic

Other Identifiers 2

Medicaid109508502TX
Medicare PIN00N62ATX

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 Heart Clinic 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 Permian Heart Clinic, which bills Medicare for the services this clinician delivers.

Clinician (1)

Ramachandra Kolluru, MD
Internal Medicine
NPI 1528065893
420E6TH STREET
Odessa, TX 79761
(432) 685-3333
✔ 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 Ram Kolluru,m.D.Pa's NPI number?

The NPI number for Ram Kolluru,m.D.Pa is 1285794289. It was assigned to this organization in the NPPES registry on December 11, 2006. The provider is doing business as Permian Heart Clinic.

Where is Ram Kolluru,m.D.Pa located?

Ram Kolluru,m.D.Pa is located at 420 E 6th St Ste 102, Odessa, TX 79761. The listed phone number is (432) 685-3333.

What is Ram Kolluru,m.D.Pa's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Ram Kolluru,m.D.Pa enrolled in Medicare?

Yes. Ram Kolluru,m.D.Pa is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ram Kolluru,m.D.Pa?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Ram Kolluru,m.D.Pa. 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 Ram Kolluru,m.D.Pa was last updated on October 21, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.