Individual provider Active NPI

Madhu Pamganamamula, MD

  • Internal Medicine Physician
  • Odessa, TX
National Provider Identifier
1699743187
Registry record updated Feb 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
L1155 Issued in TX
Practice address
807 N Hancock Ave
Odessa, TX 79761-4052
Phone
(432) 582-2446
Fax
(432) 582-2960
NPI assigned
Mar 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X L1155 TX Primary

Addresses

Primary practice location

807 N Hancock Ave
Odessa, TX 79761-4052

Mailing address

PO Box 3992
Odessa, TX 79760-3992
Phone (432) 582-2446

Other identifiers 1

IdentifierTypeStateIssuer
045046201MedicaidTX

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
I20080506000348 TX Practitioner - Internal MedicinePractitioner - Sleep Medicine 5698854438 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Sleep Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Odessa Sleep AssociatesGroup PAC ID 1153467071, 4 clinicians
Odessa Consultants LLCGroup PAC ID 4981783727, 3 clinicians

Practice addresses (Care Compare)

601 E 2ND St
Suite E
Odessa, TX 79761-5423
Phone (432) 337-6669

807 N Hancock Ave
Odessa, TX 79761-4537
Phone (432) 582-2446

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Odessa Sleep Associates CurrentSince Oct 21, 2013 Accepting new patients
Naidu Clinic Past Accepting new patients
Ector County Hospital District Past Accepting new patients
Ector County Hospital District Past Accepting new patients

Locations

601 E 2nd St
Ste E
Odessa, TX 79761
Phone (432) 337-6669

1001 E 3rd St
Odessa, TX 79761
Phone (432) 337-6669

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7825/brand/1/csg/1/fhir/r4
  • Direct secure messaging: madhu.pamganamamula.1@9928.direct.athenahealth.com

Organizations & group practices 5

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": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771200000000",
    "number": "1699743187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3992",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797603992",
            "telephone_number": "432-582-2446",
            "fax_number": "432-582-2960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 N HANCOCK AVE",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797614052",
            "telephone_number": "432-582-2446",
            "fax_number": "432-582-2960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAMGANAMAMULA",
        "first_name": "MADHU",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2026-02-16",
        "certification_date": "2026-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L1155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "045046201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Odessa, TX

Sources for this page

Verify at the official NPI Registry.