Active NPI
Permian Gastroenterology Associates LLP
- Gastroenterology Physician
- Odessa, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- 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
- Last updated
- Sep 21, 2011
- Organization subpart
- No
NPPES NPI Registry
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
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | TX | Primary |
Addresses
Primary practice location
315 E 5TH St
Odessa, TX 79761-5133
Mailing address
315 E 5TH St
Odessa, TX 79761-5133
Phone (432) 333-3433
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D0877279 | Permian Gastroenterology Associates | Certificate of waiver | Sep 29, 2027 |
National Provider Directory
National Provider DirectoryLocations
315 E 5th St
Odessa, TX 79761
Phone (432) 333-3433
Interoperability endpoints
- https://api.platform.athenahealth.com/9332/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Gastroenterology Physician
- Midland, TX
- NPI 1144523549
-
- Gastroenterology Physician
- Odessa, TX
- NPI 1740397397
-
- Specialist
- Odessa, TX
- NPI 1205949120
NPI Registry JSON
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": []
}
Other providers in Odessa, TX
- Permian Basin Rehabilitation Center
- Permian Basin Rehabilitation Center for Crippled Children and Adults
- Permian Endoscopy Center
- Permian ER III, LLC. (Excel ER - Odessa)
- Permian Family Clinic
- Permian Hand and Plastic Surgery PLLC
- Permian Healthcare Inc (Star Oxygen & Medical Equipment Inc)
- Permian Imaging LLC
- Permian Nephrology Associates PA (Desert Milagro Dialysis Center)
- Permian Orthopaedic Associates
Sources for this page
- 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.