Permian Gastroenterology Associates LLP

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

PERMIAN GASTROENTEROLOGY ASSOCIATES LLP

Practice address

315 E 5TH St
Odessa, TX 79761-5133

Phone

(432) 333-3433

Fax

(432) 333-3450

NPI assigned

May 24, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Ravikumar Prasad Vemuru, M.D

Title

Owner

Phone

(432) 333-3433

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

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

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/9332/brand/1/csg/1/fhir/r4

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Pratyusha Parava, M.D

  • Gastroenterology Physician
  • Midland, TX
  • NPI 1144523549

  Gastroenterology, TX

  Medicare reassignment Care Compare group NPD
• Syam S Vemulapalli, MD

  • Gastroenterology Physician
  • Odessa, TX
  • NPI 1740397397

  Gastroenterology, TX

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316563200000",
    "number": "1295946259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 E 5TH ST",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797615133",
            "telephone_number": "432-333-3433",
            "fax_number": "432-333-3450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 E 5TH ST",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797615133",
            "telephone_number": "432-333-3433",
            "fax_number": "432-333-3450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERMIAN GASTROENTEROLOGY ASSOCIATES LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2011-09-21",
        "status": "A",
        "authorized_official_last_name": "VEMURU",
        "authorized_official_first_name": "RAVIKUMAR",
        "authorized_official_middle_name": "PRASAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "432-333-3433",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Permian Basin Rehabilitation Center
• Permian Basin Rehabilitation Center for Crippled Children and Adults
• Permian Endoscopy Center
• Permian ER III, LLC.
• Permian Family Clinic
• Permian Hand and Plastic Surgery PLLC
• Permian Healthcare Inc
• Permian Imaging LLC
• Permian Nephrology Associates PA
• Permian Orthopaedic Associates

• All providers in Odessa, TX
• Gastroenterology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.