PREM KRISHNAN KUTTY NAIR (MD) – Internal Medicine Physician, NPI 1104026236

PREM KRISHNAN KUTTY NAIR (MD) is a healthcare provider. based in Odessa, Texas. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 35096635 (OH). The NPI Number for PREM KRISHNAN KUTTY NAIR (MD) is 1104026236

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
PREM KRISHNAN KUTTY NAIR (MD)
NPI
1104026236
Phone
(432) 403-5340
Address
701 W 5TH ST
Enumeration Date
18 July 2007
Last Update Date
1 March 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8045432120
Graduation Year
2000 (26 years ago)
PAC ID
5991897589
Group Practice PAC ID
4789014150
Professional Enrollment ID
I20090901000631
Address ID
VA232383203RI1776XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience91
Completeness75
Years active:18State licenses:5Digital endpointsOther names

13,290 INTERNAL MEDICINE in TX

Loading map...

Provider Addresses for PREM KRISHNAN KUTTY NAIR (MD)

  • 701, West 5th Street, Scharbauer Place, Westside, Odessa, Ector County, Texas, 79763, United States

    ODESSA, TX 797634206

    Phone: (432) 403-5340

    Fax: (432) 353-5262

    Type: Mailing

  • 2901 S LYNNHAVEN RD

    VIRGINIA BEACH, VA 234528505

    Phone: (432) 703-5507

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $18.

Total Amount is formed as General ($18) + Research ($0) + Ownership ($0) = $18.

Last reported payment date: 2024-11-14 • Largest payer in this snapshot: Xeris Pharmaceuticals, Inc. ($18).

Total Amount

$18

General + Research + Ownership

Payments

1

Total payment records

General Amount

$18

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-14

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-09-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090901000631IInternal MedicineVATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes56980$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes18939$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes10726$0
99306Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes7369$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1515$0
View full utilization report →

Insurance plans in this area (ZIP 79763)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4789014150View full group profile
NameSpecialtyState
Internal MedicineKS
Nurse PractitionerVA
Internal MedicineVA
Family PracticeVA
Family PracticeVA
Nurse PractitionerVA
Internal Medicine, Hospice/Palliative Care, Internal MedicineVA
Family PracticeVA
Nurse PractitionerVA
Family Practice, Geriatric MedicineVA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Can I use this page to confirm PREM KRISHNAN KUTTY NAIR (MD)'s NPI?
Yes. PREM KRISHNAN KUTTY NAIR (MD) is listed with NPI 1104026236 in the public NPI dataset.
Is PREM KRISHNAN KUTTY NAIR (MD) listed as active for patients and plans?
The listing shows PREM KRISHNAN KUTTY NAIR (MD) as active in the NPI system.
What is PREM KRISHNAN KUTTY NAIR (MD)'s specialty?
The listing groups PREM KRISHNAN KUTTY NAIR (MD) with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What area does PREM KRISHNAN KUTTY NAIR (MD) serve?
PREM KRISHNAN KUTTY NAIR (MD)'s listing highlights Odessa, Texas; more addresses can appear in NPPES.
How many locations tie to this NPI?
3 practice locations appear in the available data.

Similar Providers

JOHN PETERSEN (MD)

Internal Medicine Physician
4705 BRIARWOOD AVENUE
NPI: 1972506442

AUGUSTO C SEPULVEDA (M.D.)

Internal Medicine Physician
Highway 191, West 1788 Industrial Park, Midland, Midland County, Texas, 79765, United States
NPI: 1043215932

DR. VINH H. NGUYEN (M.D)

Pediatrics Physician
420, East 6th Street, Original Town, Odessa, Ector County, Texas, 79761, United States
NPI: 1952308934

DR. RAJESH JANAKRAY PATEL (M.D.)

Internal Medicine Physician
601, Golder Avenue, Hawkins, Westside, Odessa, Ector County, Texas, 79761, United States
NPI: 1245230622

SANTIAGO GIRALDO (M.D)

Internal Medicine Physician
Highway 191, West 1788 Industrial Park, Midland, Midland County, Texas, 79765, United States
NPI: 1669473559

DR. SING DY UY (M.D.)

Pediatrics Physician
2461, East 11th Street, Park Plaza Townhomes, Odessa, Ector County, Texas, 79761, United States
NPI: 1659372068

DR. GEORGE SR. CHOUMAROV (M.D.)

Family Medicine Physician
414, East 8th Street, Whigham, Odessa, Ector County, Texas, 79761, United States
NPI: 1902898166

DR. DARRELL SCOTT PARSONS (M.D.)

Internal Medicine Physician
1220, West University Boulevard, Delta, Odessa, Ector County, Texas, 79764, United States
NPI: 1144212440

STEPHANIE ALEXANDRA KUBACAK (M.D.)

Internal Medicine Physician
8050 E HIGHWAY 191 STE 200
NPI: 1821086729