Ramnauth Robert Ramkissoon, PA-C
Individual provider Active NPI Physician Assistant · Odessa, TX
NPI 1962711200 · NPPES record last updated May 4, 2021
Key facts
- NPI
- 1962711200
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA06886 (TX)
- Practice address
- 3001 JBS Pkwy
Odessa, TX 79762-8126 - Phone
- (432) 640-6700
- Fax
- (432) 640-4700
- NPI assigned
- Oct 5, 2010
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ector County Hospital District
Practice addresses (Care Compare)
3001 JBS Pkwy
Odessa, TX 79762-8126
Phone (432) 640-6700
3001 John Ben Shepperd Pkwy
Suite 100
Odessa, TX 79762-8126
Phone (432) 640-6772
500 W 4TH St
Odessa, TX 79761-5001
6030 W University Blvd
Odessa, TX 79764-8530
Phone (432) 640-6600
Hospital & facility affiliations
- Medical Center Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.63 of 100
- Quality
- 83.96
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 69.97
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110412000960 | TX | Practitioner - Physician Assistant | 8527242783 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA06886 | TX | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ector County Hospital District | Current |
Accepting new patients | |
| Ector County Hospital District | Current |
Accepting new patients | |
| Ector County Hospital District | Past | Accepting new patients |
Locations
500 W 4th St
Odessa, TX 79761
Phone (432) 640-1000
3001 John Ben Shepperd Pkwy
Odessa, TX 79762
Phone (432) 640-6700
315 Golder Ave
Ste B
Odessa, TX 79761
Phone (432) 332-2695
1940 E 42nd St
Ste B
Odessa, TX 79762
Phone (432) 640-2749
8050 E Highway 191
Ste 104
Odessa, TX 79765
Phone (432) 640-2749
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA06886 | TX | Yes |
Addresses
Primary practice location
3001 JBS Pkwy
Odessa, TX 79762-8126
Mailing address
PO Box 2129
Odessa, TX 79760-2129
Phone (432) 640-6700
Other practice location 1
8050 E Highway 191
Suite 104
Odessa, TX 79765-8607
Phone (432) 640-2749
Other practice location 2
1940 E 42nd St Ste B
Odessa, TX 79762-5840
Phone (432) 640-2749
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 280678802 | Medicaid | TX |
Other providers in Odessa, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 4, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.