Dr. Asif Ali Khan Ansari, MD
Internal Medicine, Nephrology in Odessa, TX. Individual provider (NPI-1).
NPI number1528299872
StatusActive
Last updated in NPPESAug 26, 2014
Details
- NPI
- 1528299872
- Entity type
- Individual (NPI-1)
- Name
- Dr. Asif Ali Khan Ansari
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 4, 2009
- Last updated
- Aug 26, 2014
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NEPHROLOGY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RN0300X | Internal Medicine, Nephrology | P9295 | TX | Yes |
Practice location
401 N. Tom GreenPermian Basin Kidney Center
Odessa, TX 79761
Phone 432-279-0905
Mailing address
401 N. Tom GreenPermian Basin Kidney Center
Odessa, TX 79761
Phone 432-279-0905
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 11 Nephrology Physician providers in Odessa · All 2,236 providers in Odessa
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