Individual provider Active NPI

George Choumarov Sr., M.D.

  • Family Medicine Physician
  • Odessa, TX
National Provider Identifier
1902898166
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K4026 Issued in TX
Practice address
414 E 8TH St
Odessa, TX 79761-4522
Phone
(432) 332-2332
NPI assigned
Aug 15, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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 K4026 TX
Pediatrics Physician 208000000X K4026 TX
Family Medicine Physician 207Q00000X K4026 TX Primary

Addresses

Primary practice location

414 E 8TH St
Odessa, TX 79761-4522

Mailing address

414 E 8TH St
Odessa, TX 79761-4522
Phone (432) 332-2332

Other identifiers 1

IdentifierTypeStateIssuer
0081CFOtherTXBLUE CROSS BLUE SHIELD TX

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
I20050908000845 TX Practitioner - Emergency MedicinePractitioner - Internal MedicinePractitioner - Pediatric Medicine 5395777593 Practice locations: Odessa, TX

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1902898166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 E 8TH ST",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797614522",
            "telephone_number": "432-332-2332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 E 8TH ST",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797614522",
            "telephone_number": "432-332-2332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOUMAROV",
        "first_name": "GEORGE",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K4026",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "K4026",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K4026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD TX",
            "identifier": "0081CF",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Odessa, TX

Sources for this page

Verify at the official NPI Registry.