Individual provider Active NPI

Antonyos Mahfoud, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Odessa, TX
National Provider Identifier
1508220641
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
S2634 Issued in TX
Practice address
500 W 4TH St
Odessa, TX 79761
Phone
(432) 640-2408
NPI assigned
Apr 5, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X S2634 TX
Critical Care Medicine (Internal Medicine) Physician 207RC0200X S2634 TX Primary

Addresses

Primary practice location

500 W 4TH St
Odessa, TX 79761

Mailing address

PO Box 2129
Odessa, TX 79760-2129
Phone (432) 640-2408

Other practice location 1

400 Rosalind Redfern Grover Pkwy
Midland, TX 79701-5810
Phone (432) 221-1672

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
I20210104001477 TX Practitioner - Internal Medicine 9537490644 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MCH Professional CareGroup PAC ID 1658358635, 51 clinicians
MCH Professional Care Hospital BasedGroup PAC ID 1557535127, 81 clinicians

Practice addresses (Care Compare)

315 Golder Ave
Suite B
Odessa, TX 79761-5060
Phone (432) 640-1878

500 W 4TH St
Odessa, TX 79761-5001
Phone (432) 640-2401

Hospital & facility affiliations

  • Medical Center Hospital Hospital, Odessa, TX, CCN 450132
  • Reeves Regional Health Hospital, Pecos, TX, CCN 451377
  • Pecos County Memorial Hospital Hospital, Fort Stockton, TX, CCN 451389
  • Ward Memorial Hospital Hospital, Monahans, TX, CCN 451373

Merit-based Incentive Payment System (MIPS)

Final score
81.41 of 100Reported as group
Quality
72.52
Improvement activities
40
Cost
81.49

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
S2634TXMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MCH Professional Care Internal Medicine CurrentSince Aug 1, 2024 Accepting new patients
Martin County Hospital District CurrentSince Oct 18, 2023 Accepting new patients
MCH Professional Care Hospital Based Critical Care Medicine CurrentSince Jun 1, 2022 Accepting new patients
Martin County Hospital District CurrentSince Oct 18, 2023 Accepting new patients
Covenant Medical Group Internal Medicine Past Accepting new patients
Ector County Hospital District Past Accepting new patients
Lubbock County Hospital District Past Accepting new patients
Lubbock County Hospital District Past Accepting new patients
Texas Tech University Health Sciences Center Lubbock Past Accepting new patients

Locations

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

315 Golder Ave
Ste B
Odessa, TX 79761
Phone (432) 332-2695

600 E Interstate 20
Stanton, TX 79782
Phone (432) 607-3200

Organizations & group practices 10

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 6

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": "1459814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780012800000",
    "number": "1508220641",
    "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": "432-640-2408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W 4TH ST",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "79761",
            "telephone_number": "432-640-2408"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Rosalind Redfern Grover Pkwy",
            "address_purpose": "LOCATION",
            "city": "Midland",
            "state": "TX",
            "postal_code": "797015810",
            "country_code": "US",
            "telephone_number": "432-221-1672",
            "fax_number": "432-221-5981",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAHFOUD",
        "first_name": "ANTONYOS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-05",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "S2634",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "TX",
            "license": "S2634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Odessa, TX

Sources for this page

Verify at the official NPI Registry.