Vasantha Agusala, M.D

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

K3962 Issued in TX

Practice address

318 N Alleghaney Ave
Suite 402
Odessa, TX 79761-5052

Phone

(432) 337-2714

Fax

(432) 337-2726

NPI assigned

Mar 2, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Family Practice

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Big Bend Medical GroupGroup PAC ID 2163326281, 46 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Josephs Home Health Inc Home health agency, Midland, TX, CCN 453104
• Angels Care Home Health Home health agency, Midland, TX, CCN 677864
• Express Nursing Home health agency, Odessa, TX, CCN 679327
• Odessa Regional Medical Center Hospital, Odessa, TX, CCN 450661
• Medical Center Hospital Hospital, Odessa, TX, CCN 450132
• Permian Regional Medical Center Andrews County Ho Hospital, Andrews, TX, CCN 450144

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: vasantha.agusala.1@1603.direct.athenahealth.com

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.

• Big Bend Medical Group

  dba Family Medical Center

  • Surgery Physician
  • Big Spring, TX
  • NPI 1811973282
  Medicare reassignment Care Compare group NPD
• Big Bend Medical Group

  • Rural Health Clinic/Center
  • Big Spring, TX
  • NPI 1790592004
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Andrews County Hospital District

  dba Permian Regional Medical Center

  • Rural Acute Care Hospital
  • Andrews, TX
  • NPI 1174563779
  Care Compare affiliation
• Ector County Hospital District

  dba MCH Family Health Clinic

  • Federally Qualified Health Center (FQHC)
  • Odessa, TX
  • NPI 1578265302

  Hospital

  Care Compare affiliation
• Ector County Hospital District

  dba Medical Center Hospital

  • General Acute Care Hospital
  • Odessa, TX
  • NPI 1740273994
  Care Compare affiliation
• Express Nursing, Inc

  dba Express Nursing

  • Home Health Agency
  • Odessa, TX
  • NPI 1184791683
  Care Compare affiliation
• Midland Careservices LLC

  • Home Health Agency
  • Midland, TX
  • NPI 1023062148
  Care Compare affiliation
• Odessa Texas Hospital Company LLC

  dba Odessa Regional Medical Center

  • General Acute Care Hospital
  • Odessa, TX
  • NPI 1306673009
  Care Compare affiliation
• St. Joseph's Home Health, Inc.

  • Personal Care Attendant
  • Midland, TX
  • NPI 1235157124

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619006228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 N ALLEGHANEY AVE",
            "address_2": "SUITE 402",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797615052",
            "telephone_number": "432-337-2714",
            "fax_number": "432-337-2726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 N ALLEGHANEY AVE",
            "address_2": "SUITE 402",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797615052",
            "telephone_number": "432-337-2714",
            "fax_number": "432-337-2726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGUSALA",
        "first_name": "VASANTHA",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "TX",
            "license": "K3962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miguel Angel Aguilar, PTA
• Angela N Aguirre, COTA
• Ashlea Aguirre
• Griselda Benavides Aguirre, O.D.
• Madhava Agusala, M.D.
• Juwan Aku Agwaye, MD
• Daniyaal Ahmad, M.D.
• Ahmed Hassan, PA
• Ahmed M Hassan,MD-LP
• Omer Ahmed, MD

• Adult Medicine Physician in Odessa, TX
• Providers in Odessa, TX by specialty
• Adult Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.