ODESSA PRIMARY CARE PLLC
NPI 1922988690
Internal Medicine in Odessa, TX

Active since September 04, 2025CLIA 45D2338901 · Waiver
601 GOLDER AVE STE B, ODESSA, TX 79761(866) 439-3165(832) 413-4493 Get Directions Write a Review

NPPES record last updated: April 15, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 15, 2026, Sep 4, 2025 (2 updates tracked since 2025).

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

NPI1922988690
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameODESSA PRIMARY CARE PLLC
Location Address601 GOLDER AVE STE BOdessa, TX 79761-4412
Mailing Address601 Golder Ave Ste BOdessa, TX 79761-4412 · (866) 439-3165 · Fax (832) 413-4493
Fax(832) 413-4493
Organization SubpartNo
Authorized OfficialSyed AhmedAdministrator · (832) 205-2456
Enumeration DateSeptember 4, 2025
Last NPPES UpdateApril 15, 20262 updates tracked since enumeration
NPPES CertifiedApril 15, 2026
NPI 1922988690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
601 GOLDER AVE STE B, Odessa, TX 79761

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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, TX
Active · expires Feb 18, 2028
CLIA Number45D2338901
Laboratory TypePhysician Office
Certificate Effective DateFebruary 19, 2026
Certificate Expiration DateFebruary 18, 2028
Laboratory DirectorSteven Thompson
Laboratory Phone(432) 580-8000
Laboratory LocationOdessa Primary Care601 Golder Ave, Odessa, TX 79761
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 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.

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.

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 3 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.