CHARLES A LIVELY MD PA
NPI 1437363926
Obstetrics & Gynecology - Obstetrics in Odessa, TX
About Charles A Lively Md Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHARLES A LIVELY MD PA (NPI 1437363926) is a healthcare organization registered as an obstetrics in Odessa, Texas and active in the NPI registry since May 2007. The organization lists Charles A Lively, Owner Physician, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Charles A Lively Md Pa 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 Charles A Lively MD PA, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Charles A Lively MD PA's NPI number?
The NPI number for Charles A Lively MD PA is 1437363926. It was assigned to this organization in the NPPES registry on May 10, 2007.
Where is Charles A Lively MD PA located?
Charles A Lively MD PA is located at 608 N Muskingum Ave, Odessa, TX 79761. The listed phone number is (432) 580-9168.
What is Charles A Lively MD PA's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Obstetrics, with taxonomy code 207VX0000X.
Is Charles A Lively MD PA enrolled in Medicare?
Yes. Charles A Lively MD PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Charles A Lively MD PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Obstetrics/Gynecology) reassigns their Medicare billing to Charles A Lively MD 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 Charles A Lively MD PA was last updated on March 7, 2023. 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.
# Charles A Lively Md Pa · NPI 1437363926
Obstetrics organization in Odessa, Texas. Organization record, active in the CMS NPPES registry since May 10, 2007.
## Identity
- **NPI:** 1437363926 (Entity type: Organization)
- **Enumerated:** May 10, 2007
- **Primary specialty:** Obstetrics & Gynecology - Obstetrics · taxonomy 207VX0000X
- **Organization subpart:** No
- **Authorized official:** Charles Lively, OWNER PHYSICIAN
## Practice location
- **Address:** 608 N MUSKINGUM AVE, Odessa, TX 79761-4539
- **Phone:** (432) 580-9168 · **Fax:** (432) 580-8221
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Obstetrics/Gynecology) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 7, 2023
- **Other identifiers:** Medicaid 123169807 (TX); Other H6384 (TX); Other 50072573 (TX)
---
Source: [NPI Profile](https://npiprofile.com/npi/1437363926) · Data from the CMS NPPES public registry.