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AARON RICHARD KUBOSUMI MD
NPI 1710566393
Student in an Organized Health Care Education/Training Program in Odessa, TX

Active since April 02, 2021PECOS EnrolledAccepts Medicare Assignment
701 W 5TH ST STE 1229, ODESSA, TX 79763(432) 620-1048 Get Directions Write a Review

NPPES record last updated: April 2, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Aaron Richard Kubosumi Md NPPES

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

AARON RICHARD KUBOSUMI MD (NPI 1710566393) is an individual student in an organized health care education/training program in Odessa, Texas and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS and is a graduate of Texas Tech University Health Science Center School Of Medicine (2021).

NPPES Registry Identity

NPI1710566393
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameAARON RICHARD KUBOSUMICredential: MD
Location Address701 W 5TH ST STE 1229Odessa, TX 79763-4206
Mailing Address701 W 5th St Ste 1229Odessa, TX 79763-4206 · (432) 620-1048
Phone(432) 620-1048
Sole ProprietorYes
Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 2021
Enumeration DateApril 2, 2021
NPPES CertifiedMarch 28, 2021
✔ NPI 1710566393 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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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Cigna Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Aaron Richard Kubosumi Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3072028919
PECOS Enrollment IDI20250711000629
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 Aaron Kubosumi reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Bsw Geode Clinicians Of Texas PLLC
343 mi
Psychiatry
610 S WATTERS RD STE 130
Allen, TX 75013
  • Reassigned Medicare billing, Texas enrollment
  • 187 clinicians in this Medicare group
NPI 1790482834 (469) 854-3263
Geode Health Of Texas, PLLC
343 mi
Psychiatry
610 S WATTERS RD STE 130
Allen, TX 75013
  • Reassigned Medicare billing, Texas enrollment
  • 207 clinicians in this Medicare group
NPI 1851037162 (469) 854-3263

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 13

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
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
ANDREA IHEGWORD
Student in an Organized Health Care Education/Training Program
701 W 5TH ST STE 1229
ODESSA, TX 79763
Ector County (432) 703-5238
KEELY CHAPMAN MD
Psychiatry & Neurology (Psychiatry)
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 Aaron Kubosumi's NPI number?

The NPI number for Aaron Kubosumi is 1710566393. It was assigned to this individual provider in the NPPES registry on April 2, 2021.

Where is Aaron Kubosumi located?

Aaron Kubosumi practices at 701 W 5th St Ste 1229, Odessa, TX 79763. The listed phone number is (432) 620-1048.

What is Aaron Kubosumi's specialty?

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

Is Aaron Kubosumi enrolled in Medicare?

Yes. Aaron Kubosumi is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Aaron Kubosumi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Aaron Kubosumi reassigns Medicare benefits to 2 organizations: Bsw Geode Clinicians Of Texas PLLC (Allen, TX) and Geode Health Of Texas, PLLC (Allen, TX). 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 Aaron Kubosumi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Aaron Kubosumi accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Cigna Healthcare, Oscar Insurance Company and UnitedHealthcare and 1 other insurer list Aaron Kubosumi 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 Aaron Kubosumi was last updated on April 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.