Individual provider Active NPI

Jorge G. Alamo, M.D.

  • Family Medicine Physician
  • Odessa, TX
National Provider Identifier
1063859189
Registry record updated Jun 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
Q9106 Issued in TX
Practice address
8050 E Highway 191
Suite 104
Odessa, TX 79765-8613
Phone
(432) 640-6476
Fax
(432) 640-4758
NPI assigned
May 30, 2013
Last updated
Jun 7, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Q9106 TX Primary
Occupational Medicine Physician 2083X0100X Q9106 TX

Addresses

Primary practice location

8050 E Highway 191
Suite 104
Odessa, TX 79765-8613

Mailing address

PO Box 2129
Odessa, TX 79760-2129
Phone (432) 640-6476

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
I20160913000027 TX Practitioner - Family Practice 4385934504 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MCH Professional CareGroup PAC ID 1658358635, 51 clinicians

Practice addresses (Care Compare)

8050 E Hwy 191
Suite 200
Odessa, TX 79765-8615
Phone (432) 337-5411

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.78 of 100Reported as group
Quality
60.9
Promoting interoperability
100
Improvement activities
40
Cost
66.21

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
Q9106TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ector County Hospital District Family Medicine CurrentSince Oct 1, 2017 Accepting new patients
MCH Professional Care Family Medicine CurrentSince Aug 1, 2016 Accepting new patients

Locations

3001 John Ben Shepperd Pkwy
Odessa, TX 79762
Phone (432) 640-6700

315 Golder Ave
Ste B
Odessa, TX 79761
Phone (432) 332-2695

500 W 4th St
Odessa, TX 79761
Phone (432) 640-1000

6030 W University Blvd
Odessa, TX 79764
Phone (432) 640-6600

8050 E Highway 191
Ste 104
Odessa, TX 79765
Phone (432) 640-6476

8050 E Highway 191
Ste 200
Odessa, TX 79765
Phone (432) 337-5411

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/8f9a7649-0fa8-479b-a649-15bf2ad877a3/

Organizations & group practices 3

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 3

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": "1369872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623024000000",
    "number": "1063859189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2129",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797602129",
            "telephone_number": "432-640-6476",
            "fax_number": "432-640-4758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8050 E HIGHWAY 191",
            "address_2": "SUITE 104",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797658613",
            "telephone_number": "432-640-6476",
            "fax_number": "432-640-4758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALAMO",
        "first_name": "JORGE",
        "middle_name": "G.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-30",
        "last_updated": "2021-06-07",
        "certification_date": "2021-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "Q9106",
            "primary": true
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "TX",
            "license": "Q9106",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Odessa, TX

Sources for this page

Verify at the official NPI Registry.