Individual provider Active NPI

Charles Von Oden Hughes III, MD

  • Family Medicine Physician
  • Levelland, TX
National Provider Identifier
1053309997
Registry record updated Jul 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G2997 Issued in TX
Practice address
116A John Dupre Dr
Levelland, TX 79336
Phone
(806) 894-7900
NPI assigned
Oct 13, 2005
Last updated
Jul 13, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G2997 TX Primary

Addresses

Primary practice location

116A John Dupre Dr
Levelland, TX 79336

Mailing address

116A John Dupre Dr
Levelland, TX 79336

Other identifiers 5

IdentifierTypeStateIssuer
115591104OtherTXFIRSTCARE
119658OtherTXSUPERIOR HEALTH PLAN
130236601MedicaidTX
MDG2997OtherTXWORKERS COMP
5086025OtherAETNA

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20100723000101 TX Practitioner - Family Practice 4688582299 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Virginia Commonwealth University, School of Medicine, 1982
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

201 E Grant Ave
Morton, TX 79346-3444
Phone 8062665566203

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Medical Group PLLC CurrentSince Jul 28, 2013 Accepting new patients
Fisher County Hospital District Current Accepting new patients
Fisher County Hospital District CurrentSince Sep 1, 2023 Accepting new patients
Fisher County Hospital District CurrentSince Sep 1, 2023 Accepting new patients
Concord Medical Group of Texas PLLC CurrentSince Jul 28, 2013 Accepting new patients
Cochran Memorial Hospital CurrentSince Aug 4, 2014 Accepting new patients
Cochran Memorial Hospital CurrentSince Aug 4, 2014 Accepting new patients
Morton Clinic Past Accepting new patients
Methodist Hospital Levelland Past Accepting new patients

Locations

1601 W 11th Pl
Big Spring, TX 79720
Phone (432) 263-1211

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

201 E Grant Ave
Morton, TX 79346
Phone (806) 266-5566

708 S 1st St
Muleshoe, TX 79347
Phone (806) 272-4524

774 State Highway 70 N
Rotan, TX 79546
Phone (325) 735-2256

305 N McKinney St
Sweeny, TX 77480
Phone (979) 548-1500

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/cochmem-c10594e1

Organizations & group practices 10

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184284800000",
    "number": "1053309997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116A JOHN DUPRE DR",
            "city": "LEVELLAND",
            "state": "TX",
            "postal_code": "79336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116A JOHN DUPRE DR",
            "city": "LEVELLAND",
            "state": "TX",
            "postal_code": "79336",
            "telephone_number": "806-894-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUGHES",
        "first_name": "CHARLES",
        "middle_name": "VON ODEN",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-13",
        "last_updated": "2007-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "G2997",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRSTCARE",
            "identifier": "115591104",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUPERIOR HEALTH PLAN",
            "identifier": "119658",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130236601",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMP",
            "identifier": "MDG2997",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5086025",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Levelland, TX

Sources for this page

Verify at the official NPI Registry.