Organization Active NPI

Elite Ivf & Fertility Solutions

  • Reproductive Endocrinology Physician
  • Odessa, TX
National Provider Identifier
1235856048
Registry record updated Oct 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
Legal business name
ELITE IVF & FERTILITY SOLUTIONS
Practice address
420 E 6TH St Ste 101
Odessa, TX 79761-4537
Phone
(432) 614-6376
Fax
(432) 310-1220
NPI assigned
Oct 24, 2022
Last updated
Oct 24, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2022

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

Authorized official

Name
Rizwan Malik, MDNPI 1457578031
Title
President
Phone
(432) 599-3982

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Reproductive Endocrinology Physician 207VE0102X NU Primary

Addresses

Primary practice location

420 E 6TH St Ste 101
Odessa, TX 79761-4537

Mailing address

420 E 6TH St Ste 101
Odessa, TX 79761-4537
Phone (432) 614-6376

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2220505Elite Ivf and Fertility Solutions LLC/Basin420 E 6TH Street Suite 101, Odessa, TX 79761Provider-performed microscopyApr 12, 2027

National Provider Directory

National Provider Directory

Locations

420 E 6th St
Ste 101
Odessa, TX 79761
Phone (432) 333-8400

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1666569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666569600000",
    "number": "1235856048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 E 6TH ST STE 101",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797614537",
            "telephone_number": "432-614-6376",
            "fax_number": "432-310-1220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 E 6TH ST STE 101",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797614537",
            "telephone_number": "432-614-6376",
            "fax_number": "432-310-1220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE IVF & FERTILITY SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-24",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-22",
        "status": "A",
        "authorized_official_last_name": "MALIK",
        "authorized_official_first_name": "RIZWAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "432-599-3982",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Odessa, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.