Individual provider Active NPI

Alim Mirza Ladha, M.D.

  • Neurological Surgery Physician
  • Odessa, TX
National Provider Identifier
1093935975
Registry record updated Oct 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
P0750 Issued in TX
Practice address
8050 E Highway 191
Ste 203
Odessa, TX 79765-8615
Phone
(432) 617-4551
Fax
(432) 687-6298
NPI assigned
Apr 26, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X P0750 TX Primary

Addresses

Primary practice location

8050 E Highway 191
Ste 203
Odessa, TX 79765-8615

Mailing address

PO Box 13562
Odessa, TX 79768-3562
Phone (432) 617-4551

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
I20111117000200 TX Practitioner - Neurosurgery 7911171541 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Washington University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8050 E Hwy 191
Suite 205
Odessa, TX 79765-8615
Phone (432) 617-4551

Hospital & facility affiliations

  • Midland Memorial Hospital Hospital, Midland, TX, CCN 450133

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion29
Laminectomy or laminotomy (partial removal of spine bones)12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P0750TXMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Basin Neurosurgical and Spine Associates Neurological Surgery CurrentSince Sep 4, 2011 Accepting new patients

Locations

8050 E Highway 191
Ste 205
Odessa, TX 79765
Phone (432) 332-2858

8050 E Highway 191
Ste 203
Odessa, TX 79765
Phone (432) 326-1939

Organizations & group practices 1

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

Hospital & facility affiliations 1

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": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477612800000",
    "number": "1093935975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13562",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797683562",
            "telephone_number": "432-617-4551",
            "fax_number": "432-687-6299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8050 E HIGHWAY 191",
            "address_2": "STE 203",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797658615",
            "telephone_number": "432-617-4551",
            "fax_number": "432-687-6298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LADHA",
        "first_name": "ALIM",
        "middle_name": "MIRZA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-26",
        "last_updated": "2016-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "TX",
            "license": "P0750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Odessa, TX

Sources for this page

Verify at the official NPI Registry.