NPIMap

Individual provider Active NPI

Asif Ali Khan Ansari, MD

  • Nephrology Physician
  • Odessa, TX
National Provider Identifier
1528299872
Registry record updated Aug 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
P9295 Issued in TX
Practice address
401 N. Tom Green
Permian Basin Kidney Center
Odessa, TX 79761
Phone
(432) 279-0905
NPI assigned
Aug 4, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X P9295 TX Primary

Addresses

Primary practice location

401 N. Tom Green
Permian Basin Kidney Center
Odessa, TX 79761

Mailing address

401 N. Tom Green
Permian Basin Kidney Center
Odessa, TX 79761
Phone (432) 279-0905

Other identifiers 1

IdentifierTypeStateIssuer
947540926-00OtherMIPRIORITYHMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140825000056 TX Practitioner - NephrologyPractitioner - Internal Medicine 4587882121 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reeves County Hospital District 25 clinicians
Permian Basin Kidney Center Inc 3 clinicians
Permian Physician Services 10 clinicians

Practice addresses (Care Compare)

2349 Medical Dr
Pecos, TX 79772-2251
Phone (432) 447-3551

410 N Hancock Ave
Odessa, TX 79761-5140
Phone (432) 279-0905

704 Hospital Dr
Andrews, TX 79714-3617
Phone (432) 464-2165

Hospital & facility affiliations

  • DaVita Midland Dialysis Dialysis facility, Midland, TX, CCN 452622
  • Fresenius Medical Care Permian Basin Dialysis facility, Midland, TX, CCN 452512
  • Fresenius Kidney Care Ft. Stockton Dialysis facility, Fort Stockton, TX, CCN 672639
  • Reeves County Hospital Dialysis Center Dialysis facility, Pecos, TX, CCN 452378
  • West Texas Dialysis Center Dialysis facility, Big Spring, TX, CCN 452604
  • Midland Memorial Hospital Hospital, Midland, TX, CCN 450133
  • Medical Center Hospital Hospital, Odessa, TX, CCN 450132
  • Odessa Regional Medical Center Hospital, Odessa, TX, CCN 450661
  • Martin County Hospital District Hospital, Stanton, TX, CCN 451333
  • Reeves Regional Health Hospital, Pecos, TX, CCN 451377
  • Encompass Health Rehabilitation Hospital of Midlan Inpatient rehabilitation facility, Midland, TX, CCN 453057

Merit-based Incentive Payment System (MIPS)

Final score
91.99 of 100Reported as group
Quality
76.92
Improvement activities
40
Cost
76.71

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Permian Physician Services Nephrology CurrentSince Jun 20, 2024 Accepting new patients
Permian Basin Kidney Center Inc Nephrology CurrentSince May 1, 2019 Accepting new patients
Andrews County Hospital District Current Accepting new patients
Reeves County Hospital District CurrentSince Mar 5, 2020 Accepting new patients
Reeves County Hospital District CurrentSince Mar 5, 2020 Accepting new patients
Andrews County Hospital District Past Accepting new patients
Andrews County Hospital District Past Accepting new patients
Andrews County Hospital District Past Accepting new patients
Andrews County Hospital District Past Accepting new patients
Andrews County Hospital District Past Accepting new patients
Andrews County Hospital District Past Accepting new patients

Locations

1411 N Main St
Andrews, TX 79714
Phone (432) 464-2200

704 Hospital Dr
Andrews, TX 79714
Phone (432) 464-2165

700 Hospital Dr
Ste Rhc
Andrews, TX 79714

700 Hospital Dr
Andrews, TX 79714
Phone (432) 523-6624

207 Tradewinds Blvd
Ste B
Midland, TX 79706
Phone (432) 687-4044

410 N Hancock Ave
Odessa, TX 79761
Phone (432) 279-0905

2335 Medical Dr
Pecos, TX 79772
Phone (432) 447-0565

2335 Medical Dr
Ste Rhc
Pecos, TX 79772

2323 Texas St
Pecos, TX 79772
Phone (432) 447-3551

2349 Medical Dr
Pecos, TX 79772
Phone (432) 447-0565

Interoperability endpoints

  • Direct secure messaging: aansari@permian.medalliesdirect.net
  • Direct secure messaging: asif.ansari.1@19285.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/19285/brand/4/csg/1/fhir/r4

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 12

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": "1249344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409011200000",
    "number": "1528299872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 N. TOM GREEN",
            "address_2": "PERMIAN BASIN KIDNEY CENTER",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "79761",
            "telephone_number": "432-279-0905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 N. TOM GREEN",
            "address_2": "PERMIAN BASIN KIDNEY CENTER",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "79761",
            "telephone_number": "432-279-0905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANSARI",
        "first_name": "ASIF",
        "middle_name": "ALI KHAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-04",
        "last_updated": "2014-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "P9295",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIORITYHMO",
            "identifier": "947540926-00",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Odessa, TX

Sources for this page

Verify at the official NPI Registry.