Lyden C. Odukwu, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

L7830 Issued in TX

Practice address

3305 Andrews Hwy
Midland, TX 79703-5130

Phone

(432) 620-0525

Fax

(432) 682-6200

NPI assigned

Sep 6, 2005

Last updated

Oct 4, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Home Care Plus Home health agency, Midland, TX, CCN 677296
• Midland Memorial Hospital Hospital, Midland, TX, CCN 450133

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lyden C Odukwu MD PA

  dba Midland Family Care

  • Family Medicine Physician
  • Midland, TX
  • NPI 1427236215
  Medicare reassignment NPD Authorized official
• Midland County Hospital District

  dba Midland Memorial Hospital

  • General Acute Care Hospital
  • Midland, TX
  • NPI 1255325817
  NPD (past)
• Midland Emergency Management PLLC

  • Emergency Medicine Physician
  • Midland, TX
  • NPI 1801889993
  NPD (past)
• Premier Family Care I, Inc

  dba Premier Physicians

  • General Practice Physician
  • Midland, TX
  • NPI 1275522864

  Family Medicine

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Caregivers PB, Inc

  • Home Health Agency
  • Midland, TX
  • NPI 1255743092
  Care Compare affiliation
• Midland County Hospital District

  dba Midland Memorial Hospital

  • General Acute Care Hospital
  • Midland, TX
  • NPI 1255325817
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1125964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317686400000",
    "number": "1043204035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3305 ANDREWS HWY",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797035130",
            "telephone_number": "432-620-0525",
            "fax_number": "432-682-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3305 ANDREWS HWY",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797035130",
            "telephone_number": "432-620-0525",
            "fax_number": "432-682-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODUKWU",
        "first_name": "LYDEN",
        "middle_name": "C.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-06",
        "last_updated": "2011-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L7830",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "163781104",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0036MP",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cecilia Ochoa, PT
• Robert Frederick Ochsner, D.D.S.
• Odirile Orthodontics PLLC
• Bonolo Blessed Odirile, B.D.S
• Shelly Nel Odom, LCSW, M-RAS
• Niyah Odum
• Yemisi Aderemi Oduwole, M.D.
• Joseph Oei, M.D.
• Off the Court Fitness & Wellness, LLC
• Ogeda Family Care, PLLC

• Family Medicine Physician in Midland, TX
• Providers in Midland, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.