Individual provider Active NPI

Mavis Twum-Barimah, M.D.

  • Family Medicine Physician
  • Odessa, TX
National Provider Identifier
1376807362
Registry record updated Jul 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
Q3982 Issued in TX
Practice address
6030 W University Blvd
Odessa, TX 79764-8530
Phone
(432) 640-6600
Fax
(432) 640-4791
NPI assigned
Jun 25, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Q3982 TX Primary

Addresses

Primary practice location

6030 W University Blvd
Odessa, TX 79764-8530

Mailing address

PO Box 2129
Odessa, TX 79760-2129
Phone (432) 640-6600

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
I20150814013161 TX Practitioner - Family Practice 8022241785 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Wayne State University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ector County Hospital District 29 clinicians

Practice addresses (Care Compare)

840 W Clements St
MCH Family Health Clinic
Odessa, TX 79763-4601
Phone (432) 640-4860

Hospital & facility affiliations

  • St Josephs Home Health Inc Home health agency, Midland, TX, CCN 453104
  • Medical Center Hospital Hospital, Odessa, TX, CCN 450132

Merit-based Incentive Payment System (MIPS)

Final score
87.63 of 100Reported as group
Quality
83.96
Promoting interoperability
100
Improvement activities
40
Cost
69.97

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
Q3982TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ector County Hospital District CurrentSince Aug 1, 2015 Accepting new patients

Locations

840 W Clements St
Odessa, TX 79763
Phone (432) 333-3888

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

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

Organizations & group practices 7

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 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": "1340582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436400000000",
    "number": "1376807362",
    "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": "432-640-6600",
            "fax_number": "432-640-4791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6030 W UNIVERSITY BLVD",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797648530",
            "telephone_number": "432-640-6600",
            "fax_number": "432-640-4791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TWUM-BARIMAH",
        "first_name": "MAVIS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-25",
        "last_updated": "2015-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "Q3982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Odessa, TX

Sources for this page

Verify at the official NPI Registry.