PERMIAN ARTHRITIS AND RHEUMATOLOGY CENTER – Rheumatology Physician, NPI 1225883564

PERMIAN ARTHRITIS AND RHEUMATOLOGY CENTER is a healthcare provider. based in Odessa, Texas. specializing in Rheumatology Physician. The NPI Number for PERMIAN ARTHRITIS AND RHEUMATOLOGY CENTER is 1225883564

Main info

Organization
Name
PERMIAN ARTHRITIS AND RHEUMATOLOGY CENTER
NPI
1225883564
Phone
(432) 326-1939
Address
PO BOX 14955
Authorized Official
CANDACE WYNNE CREDENTIALING
Enumeration Date
19 April 2024
Last Update Date
20 May 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness80
Years active:2State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for PERMIAN ARTHRITIS AND RHEUMATOLOGY CENTER

  • PO BOX 14955

    ODESSA, TX 797684955

    Phone: (432) 326-1939

    Fax: (432) 224-1091

    Type: Mailing

  • 8050 E HIGHWAY 191 STE 203

    ODESSA, TX 797658615

    Phone: (432) 326-1939

    Fax: (432) 224-1091

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2024-06-14

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
O20240614002457OClinic/Group PracticeTXTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 79768)

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Reviews

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Frequently asked questions

Where can patients find PERMIAN ARTHRITIS AND RHEUMATOLOGY CENTER's NPI?
You can confirm PERMIAN ARTHRITIS AND RHEUMATOLOGY CENTER with NPI 1225883564; it appears in the national provider directory.
Does this profile mean PERMIAN ARTHRITIS AND RHEUMATOLOGY CENTER is currently active?
Yes — PERMIAN ARTHRITIS AND RHEUMATOLOGY CENTER appears active in the national provider directory.
What field does PERMIAN ARTHRITIS AND RHEUMATOLOGY CENTER work in?
You can think of PERMIAN ARTHRITIS AND RHEUMATOLOGY CENTER as practicing within Rheumatology Physician. Clinical services aligned with this taxonomy classification.
Does PERMIAN ARTHRITIS AND RHEUMATOLOGY CENTER practice in Texas?
You will see Odessa, Texas on file for PERMIAN ARTHRITIS AND RHEUMATOLOGY CENTER alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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