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ODESSA ENDOSCOPY CENTER LLC
NPI 1629386784
Clinic/Center - Ambulatory Surgical in Odessa, TX

Active since September 22, 2010CLIA 45D1011964 · Waiver
315 E 5TH ST, ODESSA, TX 79761(432) 335-8300(432) 335-8330 Get Directions Write a Review

NPPES record last updated: January 16, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 9, 2025, Nov 8, 2024 (2 updates tracked since 2024).

About Odessa Endoscopy Center Llc NPPES

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

ODESSA ENDOSCOPY CENTER LLC (NPI 1629386784) is a healthcare organization registered as an ambulatory surgical in Odessa, Texas and active in the NPI registry since September 2010. The organization holds a CLIA Waiver certificate valid through April 28, 2027 and lists Peter Blach, Officer, as its authorized official.

NPPES Registry Identity

NPI1629386784
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameODESSA ENDOSCOPY CENTER LLC
Location Address315 E 5TH STOdessa, TX 79761-5133
Mailing Address315 E 5th StOdessa, TX 79761-5133
Phone(432) 335-8300
Fax(432) 335-8330
Organization SubpartNo
Authorized OfficialPeter BlachOfficer · (713) 343-0832
Enumeration DateSeptember 22, 2010
Last NPPES UpdateJanuary 16, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 16, 2025
✔ NPI 1629386784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License✔ Licensed in TX · 007948
315 E 5TH ST, Odessa, TX 79761
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

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 45D1011964

Odessa Endoscopy Center LLC · Odessa, TX
Active · expires Apr 28, 2027
CLIA Number45D1011964
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateApril 29, 2025
Certificate Expiration DateApril 28, 2027
Laboratory DirectorPratyusha Parava
Laboratory Phone(432) 335-8300
Laboratory LocationOdessa Endoscopy Center LLC315 East 5th Street, Odessa, TX 79761
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
115 services115 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
106 services101 patients
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121
Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.
89 services87 patients
Colorectal cancer screening; colonoscopy on individual at high risk G0105
Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
78 services76 patients
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235
This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.
58 services58 patients
Diagnostic exam of large bowel using a flexible endoscope 45378
This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.
31 services31 patients

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RAVIKUMAR VEMURU M.D.
Specialist
315 E 5TH ST
ODESSA, TX 79761
Ector County (432) 333-3433
PERMIAN GASTROENTEROLOGY ASSOCIATES LLP
Internal Medicine (Gastroenterology)
315 E 5TH ST
ODESSA, TX 79761
Ector County (432) 333-3433
PERMIAN ENDOSCOPY CENTER
Clinic/Center (Ambulatory Surgical)
315 E 5TH ST
ODESSA, TX 79761
Ector County (432) 335-8300
DR. SYAM S VEMULAPALLI MD
Internal Medicine (Gastroenterology)
315 E 5TH ST
ODESSA, TX 79761
Ector County (432) 333-3433
JASON ROLAND DOMINGUEZ PA-C
Physician Assistant
315 E 5TH ST
ODESSA, TX 79761
Ector County (432) 333-3433

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 Odessa Endoscopy Center LLC's NPI number?

The NPI number for Odessa Endoscopy Center LLC is 1629386784. It was assigned to this organization in the NPPES registry on September 22, 2010.

Where is Odessa Endoscopy Center LLC located?

Odessa Endoscopy Center LLC is located at 315 E 5th St, Odessa, TX 79761. The listed phone number is (432) 335-8300.

What is Odessa Endoscopy Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Odessa Endoscopy Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D1011964) is associated with this NPI, valid through April 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Odessa Endoscopy Center LLC accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 10 other insurers list Odessa Endoscopy Center LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Odessa Endoscopy Center LLC was last updated on January 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.