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ANDREA IHEGWORD
NPI 1689202244
Student in an Organized Health Care Education/Training Program in Odessa, TX

Active since March 30, 2020PECOS Enrolled
701 W 5TH ST STE 1229, ODESSA, TX 79763(432) 703-5238 Get Directions Write a Review

NPPES record last updated: March 30, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Andrea Ihegword NPPES

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

ANDREA IHEGWORD (NPI 1689202244) is an individual student in an organized health care education/training program in Odessa, Texas and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689202244
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameANDREA IHEGWORD
Location Address701 W 5TH ST STE 1229Odessa, TX 79763-4206
Mailing Address701 W 5th St Ste 1229Odessa, TX 79763-4206 · (432) 703-5238
Phone(432) 703-5238
Sole ProprietorNo
Enumeration DateMarch 30, 2020
NPPES CertifiedMarch 30, 2020
✔ NPI 1689202244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
701 W 5TH ST STE 1229, Odessa, TX 79763
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrea Ihegword is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Andrea Ihegword reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Faculty Physicians And Surgeons Of Llusm
792 mi
Transplant Surgery
2020 WELLNESS WAY, STE 506
Las Vegas, NV 89106
  • Reassigned Medicare billing, California enrollment
  • 2,584 clinicians in this Medicare group
NPI 1124560214 (909) 558-3636
Southern California Permanente Medical Group
863 mi
Health Maintenance Organization
4647 ZION AVE
San Diego, CA 92120
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1225060742 (619) 528-5000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 14

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

RACHEL WAI
Family Medicine
701 W 5TH ST STE 1229
ODESSA, TX 79763
Ector County (432) 703-5238
IVANIA CLAUDETH SALINAS MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
701 W 5TH ST STE 1229
ODESSA, TX 79763
Ector County (432) 703-5375
MADHURI ERANKI MD
Internal Medicine
701 W 5TH ST STE 1229
ODESSA, TX 79763
Ector County (432) 703-5375
DR. OMEED PAKNEJAD MD
Family Medicine
701 W 5TH ST STE 1229
ODESSA, TX 79763
Ector County (432) 703-5238
DR. TIMOTHY RU CHAO MD
Student in an Organized Health Care Education/Training Program
701 W 5TH ST STE 1229
ODESSA, TX 79763
Ector County (432) 620-1048
NGUYEN PHAM MD
Family Medicine
701 W 5TH ST STE 1229
ODESSA, TX 79763
Ector County (432) 703-5238
DR. AMMARA GUL MAHMOOD MD
Family Medicine
701 W 5TH ST STE 1229
ODESSA, TX 79763
Ector County (432) 703-5238
AARON RICHARD KUBOSUMI MD
Student in an Organized Health Care Education/Training Program
701 W 5TH ST STE 1229
ODESSA, TX 79763
Ector County (432) 620-1048

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 Andrea Ihegword's NPI number?

The NPI number for Andrea Ihegword is 1689202244. It was assigned to this individual provider in the NPPES registry on March 30, 2020.

Where is Andrea Ihegword located?

Andrea Ihegword practices at 701 W 5th St Ste 1229, Odessa, TX 79763. The listed phone number is (432) 703-5238.

What is Andrea Ihegword's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Andrea Ihegword enrolled in Medicare?

Yes. Andrea Ihegword is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Andrea Ihegword's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrea Ihegword reassigns Medicare benefits to 2 organizations: Faculty Physicians And Surgeons Of Llusm (Las Vegas, NV) and Southern California Permanente Medical Group (San Diego, CA). Each 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 Andrea Ihegword's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Andrea Ihegword was last updated on March 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.