Permian Digestive Disease Center PA

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

PERMIAN DIGESTIVE DISEASE CENTER PA

Practice address

2010 W Ohio Ave
Midland, TX 79701-5946

Phone

(432) 704-5442

Fax

(432) 704-5443

NPI assigned

Jan 8, 2016

Last updated

Sep 18, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Indira Donepudi, MDNPI 1447406137

Title

President

Phone

(432) 704-5442

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/12909/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, and the practitioner matching its NPPES authorized official.

• Indira Donepudi, M.D

  • Gastroenterology Physician
  • Midland, TX
  • NPI 1447406137
  Medicare reassignment NPD Authorized official
• Alycia Marie Edwards, MPAS, PA-C

  • Physician Assistant
  • Greeley, CO
  • NPI 1477163780
  NPD (past)

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

{
    "created_epoch": "1452211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568764800000",
    "number": "1386000180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 W OHIO AVE",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797015946",
            "telephone_number": "432-704-5442",
            "fax_number": "432-704-5443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 W OHIO AVE",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797015946",
            "telephone_number": "432-704-5442",
            "fax_number": "432-704-5443"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 E 7th St",
            "address_purpose": "LOCATION",
            "city": "Odessa",
            "state": "TX",
            "postal_code": "797614612",
            "country_code": "US",
            "telephone_number": "432-704-5442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PERMIAN DIGESTIVE DISEASE CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-08",
        "last_updated": "2019-09-18",
        "status": "A",
        "authorized_official_last_name": "DONEPUDI",
        "authorized_official_first_name": "INDIRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "432-704-5442",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Permian Basin Urology Center L.P. (Daniel Khouri MD)
• Permian Basin Wound Care Specialists, PLLC
• Permian Cardiology Associates
• Permian Cardiology, Inc.
• Permian Diagnostics PLLC
• Permian Emergency Management
• Permian Emergency Management PLLC
• Permian Endocrine & Diabetes, P.a.
• Permian Gastroenterology, P.a.
• Permian Nephrology Associates, PA

• Gastroenterology Physician in Midland, TX
• Providers in Midland, TX by specialty
• Gastroenterology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.