ODESSA PRIMARY CARE PLLC
NPI 1922988690
Internal Medicine in Odessa, TX
About Odessa Primary Care Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ODESSA PRIMARY CARE PLLC (NPI 1922988690) is a healthcare organization registered as an internal medicine in Odessa, Texas and active in the NPI registry since September 2025. The organization holds a CLIA Waiver certificate valid through February 18, 2028 and lists Syed Ahmed, Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Odessa Primary Care Pllc 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 Odessa Primary Care PLLC, 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.
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 45D2338901
Odessa Primary Care · Odessa, TXFrequently 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 Primary Care PLLC's NPI number?
The NPI number for Odessa Primary Care PLLC is 1922988690. It was assigned to this organization in the NPPES registry on September 4, 2025.
Where is Odessa Primary Care PLLC located?
Odessa Primary Care PLLC is located at 601 Golder Ave Ste B, Odessa, TX 79761. The listed phone number is (866) 439-3165.
What is Odessa Primary Care PLLC's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Odessa Primary Care PLLC enrolled in Medicare?
Yes. Odessa Primary Care PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Odessa Primary Care PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Odessa Primary Care PLLC. 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.
Does Odessa Primary Care PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 45D2338901) is associated with this NPI, valid through February 18, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Odessa Primary Care PLLC accept?
Health plans from Molina Healthcare list Odessa Primary Care PLLC 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 Primary Care PLLC was last updated on April 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Odessa Primary Care Pllc · NPI 1922988690
Internal Medicine organization in Odessa, Texas. Organization record, active in the CMS NPPES registry since September 4, 2025.
## Identity
- **NPI:** 1922988690 (Entity type: Organization)
- **Enumerated:** September 4, 2025
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Syed Ahmed, ADMINISTRATOR
## Practice location
- **Address:** 601 GOLDER AVE STE B, Odessa, TX 79761-4412
- **Phone:** (866) 439-3165 · **Fax:** (832) 413-4493
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 15, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1922988690) · Data from the CMS NPPES public registry.