Individual provider Active NPI

Indira Donepudi, M.D

  • Gastroenterology Physician
  • Midland, TX
National Provider Identifier
1447406137
Registry record updated Sep 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
P9330 Issued in TX
Practice address
4214 Andrews Hwy Ste 203
Gastroenterology
Midland, TX 79703-4871
Phone
(432) 697-1000
Fax
(432) 697-6000
NPI assigned
Aug 13, 2008
Last updated
Sep 20, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X P9330 TX
Gastroenterology Physician 207RG0100X P9330 TX Primary
Transplant Hepatology Physician 207RT0003X P9330 TX

Addresses

Primary practice location

4214 Andrews Hwy Ste 203
Gastroenterology
Midland, TX 79703-4871

Mailing address

2010 W Ohio Ave
Gastroenterology
Midland, TX 79701-5946
Phone (432) 697-1000

Other practice location 1

800 E 7th St
Odessa, TX 79761-4612
Phone (432) 704-5442

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
I20140918000450 TX Practitioner - GastroenterologyPractitioner - Internal Medicine 1456419936 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3409 Andrews Hwy
Midland, TX 79703-5149
Phone (432) 704-5442

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
74.75 of 100Reported as individual
Quality
55
Promoting interoperability
71
Improvement activities
40
Cost
73.83

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy161
Upper gastrointestinal (GI) endoscopy for acid reflux212

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P9330TXMDTransplant Hepatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Permian Digestive Disease Center PA Gastroenterology CurrentSince Jan 9, 2016 Accepting new patients
Reliant Medical Group, Inc Internal Medicine PastSince Oct 15, 2007 Accepting new patients

Locations

2010 W Ohio Ave
Midland, TX 79701
Phone (432) 687-1981

2012 W Ohio Ave
Midland, TX 79701
Phone (432) 221-3200

3409 Andrews Hwy
Midland, TX 79703
Phone (432) 580-7004

800 E 7th St
Odessa, TX 79761
Phone (432) 332-1056

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12909/brand/1/csg/1/fhir/r4
  • Direct secure messaging: indira.donepudi.1@12909.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1218585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568937600000",
    "number": "1447406137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 W OHIO AVE",
            "address_2": "GASTROENTEROLOGY",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797015946",
            "telephone_number": "432-697-1000",
            "fax_number": "432-697-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4214 ANDREWS HWY STE 203",
            "address_2": "GASTROENTEROLOGY",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797034871",
            "telephone_number": "432-697-1000",
            "fax_number": "432-697-6000"
        }
    ],
    "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": {
        "last_name": "DONEPUDI",
        "first_name": "INDIRA",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-13",
        "last_updated": "2019-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "P9330",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "P9330",
            "primary": true
        },
        {
            "code": "207RT0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Transplant Hepatology",
            "state": "TX",
            "license": "P9330",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, TX

Sources for this page

Verify at the official NPI Registry.