ADOLESCENT & ADULT ALLERGY CENTER, P.A.
NPI 1720169311
Allergy & Immunology in Odessa, TX

Q: What is Adolescent & Adult Allergy Center, P.A.'s specialty?

The primary specialty registered for this NPI is Allergy & Immunology with taxonomy code 207K00000X.

Active since October 18, 2006

2400 E 8TH ST, ODESSA, TX 79761(432) 332-5533(432) 580-5533 Get Directions Write a Review

NPPES record last updated: July 23, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Adolescent & Adult Allergy Center, P.a. NPPES

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

ADOLESCENT & ADULT ALLERGY CENTER, P.A. (NPI 1720169311) is a healthcare organization registered as an allergy & immunology in Odessa, Texas and active in the NPI registry since October 2006. The organization lists P.k. Raghu, Physcian / Owner, as its authorized official.

NPPES Registry Identity

NPI1720169311

Entity TypeOrganization

Primary Taxonomy207K00000X

Legal Business NameADOLESCENT & ADULT ALLERGY CENTER, P.A.

Location Address2400 E 8TH STOdessa, TX 79761-4902

Mailing Address2400 E 8th StOdessa, TX 79761-4902 · (432) 332-5533 · Fax (432) 580-5533

Phone(432) 332-5533

Fax(432) 580-5533

Organization SubpartNo

Authorized OfficialP.k. RaghuPhyscian / Owner · (432) 332-5533

Enumeration DateOctober 18, 2006

Last NPPES UpdateJuly 23, 2008

✔ NPI 1720169311 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAllergy & ImmunologyAllopathic & Osteopathic Physicians

Taxonomy Code207K00000X

Definition

An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.

2400 E 8TH ST, Odessa, TX 79761

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Other Identifiers 1

Medicare PIN00401XTX

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)

Adolescent & Adult Allergy Center, P.a. 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 Adolescent & Adult Allergy Center, P.A., which bills Medicare for the services this clinician delivers.

Clinician (1)

Puthalath Raghuprasad, M.D.

Allergy/Immunology

NPI 1073570032

2400 E 8TH ST
Odessa, TX 79761

(432) 332-5533

✔ 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 Adolescent & Adult Allergy Center, P.A.'s NPI number?

The NPI number for Adolescent & Adult Allergy Center, P.A. is 1720169311. It was assigned to this organization in the NPPES registry on October 18, 2006.

Where is Adolescent & Adult Allergy Center, P.A. located?

Adolescent & Adult Allergy Center, P.A. is located at 2400 E 8th St, Odessa, TX 79761. The listed phone number is (432) 332-5533.

What is Adolescent & Adult Allergy Center, P.A.'s specialty?

The primary specialty registered for this NPI is Allergy & Immunology with taxonomy code 207K00000X.

Is Adolescent & Adult Allergy Center, P.A. enrolled in Medicare?

Yes. Adolescent & Adult Allergy Center, P.A. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Adolescent & Adult Allergy Center, P.A.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Allergy/Immunology) reassigns their Medicare billing to Adolescent & Adult Allergy Center, P.A.. 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 Adolescent & Adult Allergy Center, P.A. was last updated on July 23, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.