Active NPI 1699779249 Individual Practitioner Male Practitioner

Dr. Atulkumar K Patel , MD

Internal Medicine - Interventional Cardiology • Edmond, OK

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Atulkumar Patel, MD is a certified Internal Medicine - Interventional Cardiology practicing in Edmond, OK. With approximately 30 years of clinical experience since completing medical education in 1996, Dr. Patel delivers high-quality medical care to the local community at 2017 W I 35 FRONTAGE RD STE 240.

Dr. Patel maintains professional affiliations with Ohh Physicians Llc, Mercy Hospital Oklahoma City, Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only, established patient outpatient office visit, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2017 W I 35 Frontage Rd Ste 240

Edmond, OK 730138550

Telephone 4056084610

Fax 4052857175

Associated Practice Facility / Clinic

🏢 Oklahoma Heart Hospital South Llc Facility NPI 1841442274

Medicare Profile & Education

Medical School

Other

Graduation Year

1996

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine - Interventional Cardiology in Edmond, OK

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

30 Yrs Matches City Avg

City Avg: 30.0 Yrs

State Avg: 32.7 Yrs

Regional Practice Density

2 Specialists

Practicing in Edmond, OK (117 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

54.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Patel (30 Years) 30 Yrs

Edmond Specialty Average (30.0 Years) 30.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	3,209	2,273	$26.71	$7.51
99213 Established patient office or other outpatient visit, typically 15 minutes	328	258	$100.00	$74.16
99213 Established patient office or other outpatient visit, typically 15 minutes	194	150	$100.00	$61.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	96	87	$150.00	$106.86
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	87	52	$105.00	$72.70
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	84	81	$298.07	$63.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	61	53	$150.00	$90.82
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	47	43	$36.00	$11.29
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	46	44	$290.83	$161.21
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	36	36	$155.00	$89.69
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	34	34	$60.00	$41.38
93458 Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist	31	31	$851.00	$232.74
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	28	28	$407.14	$86.58
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$230.00	$140.84
99239 Hospital discharge day management, more than 30 minutes	23	22	$160.00	$105.92
99238 Hospital discharge day management, 30 minutes or less	23	22	$110.00	$72.58
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	22	19	$150.00	$101.79
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	13	$60.00	$33.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	3,448	2,438	$26.74	$7.78
99213 Established patient office or other outpatient visit, typically 15 minutes	312	240	$100.00	$75.42
99213 Established patient office or other outpatient visit, typically 15 minutes	194	154	$100.00	$63.15
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	107	101	$300.00	$65.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	107	89	$150.00	$107.84
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	81	47	$105.00	$76.21
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	73	66	$150.00	$92.92
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	70	63	$290.00	$167.16
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	44	42	$36.00	$11.98
99238 Hospital discharge day management, 30 minutes or less	38	34	$110.00	$77.41
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	35	27	$150.00	$112.84
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	33	32	$406.06	$88.11
93458 Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist	31	31	$851.00	$253.66
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$230.00	$141.32
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$155.00	$94.23
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	24	$60.00	$34.12
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	24	$60.00	$42.81
99239 Hospital discharge day management, more than 30 minutes	23	22	$160.00	$109.84
93308 Ultrasound of heart, follow-up	14	11	$99.57	$23.97
93227 Electrocardiogram (ecg) 2-day continuous with review by health care professional	12	12	$78.00	$17.73
93272 Electrocardiogram (ecg) up to 30 days continuous with symptom monitoring, transmission and review and report by health care professional	12	12	$75.00	$21.93
93880 Ultrasound of both sides of head and neck blood flow	11	11	$85.00	$36.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	3,147	2,220	$26.58	$7.92
99213 Established patient office or other outpatient visit, typically 15 minutes	274	215	$100.00	$75.43
99213 Established patient office or other outpatient visit, typically 15 minutes	219	159	$100.00	$63.63
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	147	71	$105.00	$67.47
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	99	93	$300.00	$67.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	98	80	$150.00	$110.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	68	60	$150.00	$93.03
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	47	44	$290.00	$186.27
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	42	41	$36.00	$11.91
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	40	40	$450.00	$102.99
99238 Hospital discharge day management, 30 minutes or less	39	39	$110.00	$66.99
93458 Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist	29	29	$851.00	$228.99
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$230.00	$140.85
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$155.00	$88.50
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	17	$60.00	$34.79
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	18	14	$150.00	$97.68
93227 Electrocardiogram (ecg) 2-day continuous with review by health care professional	15	15	$78.00	$16.46
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	15	$60.00	$42.05
99217 Hospital observation care on day of discharge	14	14	$110.00	$67.97
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$230.00	$130.08
92928 Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch	11	11	$1686.00	$562.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	3,532	2,446	$26.46	$8.10
99213 Established patient office or other outpatient visit, typically 15 minutes	292	222	$100.00	$76.36
99213 Established patient office or other outpatient visit, typically 15 minutes	194	147	$100.00	$64.84
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	140	77	$105.00	$69.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	111	98	$150.00	$109.16
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	78	75	$300.00	$68.70
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	77	66	$150.00	$96.59
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	54	38	$150.00	$99.41
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	43	43	$486.05	$113.16
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	39	36	$290.00	$192.67
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	34	34	$36.00	$12.11
99238 Hospital discharge day management, 30 minutes or less	25	23	$110.00	$69.06
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$230.00	$146.80
93458 Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist	24	24	$851.00	$261.41
99217 Hospital observation care on day of discharge	15	15	$110.00	$69.06
99220 Hospital observation care, typically 70 minutes	14	14	$230.00	$175.14
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	12	12	$15.00	$13.94
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	12	11	$15.00	$12.08
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$155.00	$100.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	3,880	3,053	$27.76	$8.35
99213 Established patient office or other outpatient visit, typically 15 minutes	297	232	$100.00	$50.30
99213 Established patient office or other outpatient visit, typically 15 minutes	217	183	$100.00	$66.67
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	112	105	$298.49	$72.23
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	111	73	$105.00	$69.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	109	95	$150.00	$76.12
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	78	42	$150.00	$100.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	70	63	$150.00	$93.54
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	42	39	$36.00	$12.30
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	40	39	$290.00	$199.93
99239 Hospital discharge day management, more than 30 minutes	39	38	$160.00	$97.02
93458 Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist	30	30	$851.00	$233.60
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$230.00	$144.10
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	23	22	$560.87	$134.55
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$230.00	$128.06
93880 Ultrasound of both sides of head and neck blood flow	18	18	$85.00	$39.62
99217 Hospital observation care on day of discharge	17	17	$110.00	$71.31
99220 Hospital observation care, typically 70 minutes	11	11	$230.00	$182.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	3,676	2,880	$26.55	$8.24
99213 Established patient office or other outpatient visit, typically 15 minutes	313	238	$100.00	$61.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	191	149	$150.00	$90.55
99213 Established patient office or other outpatient visit, typically 15 minutes	185	145	$100.00	$49.95
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	167	95	$105.00	$70.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	126	99	$150.00	$76.92
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	116	77	$150.00	$100.07
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	106	98	$296.62	$72.50
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	79	76	$290.00	$193.51
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	75	69	$36.00	$11.82
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	66	63	$512.12	$119.27
99239 Hospital discharge day management, more than 30 minutes	60	56	$160.00	$102.91
93458 Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist	48	48	$851.00	$236.70
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$230.00	$131.42
93880 Ultrasound of both sides of head and neck blood flow	18	17	$216.67	$88.34
93227 Electrocardiogram (ecg) 2-day continuous with review by health care professional	15	14	$78.00	$26.05
99220 Hospital observation care, typically 70 minutes	15	15	$230.00	$181.69
99217 Hospital observation care on day of discharge	15	15	$110.00	$71.11
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$230.00	$121.24
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	14	$200.00	$119.79
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$155.00	$81.26
93880 Ultrasound of both sides of head and neck blood flow	11	11	$85.00	$39.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	1,273	1,082	$29.22	$8.16
99213 Established patient office or other outpatient visit, typically 15 minutes	291	226	$100.00	$60.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	180	137	$150.00	$91.93
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	164	95	$105.00	$70.18
99213 Established patient office or other outpatient visit, typically 15 minutes	152	132	$100.00	$49.76
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	126	80	$150.00	$100.49
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	125	107	$150.00	$75.45
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	104	95	$294.81	$71.04
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	86	83	$290.00	$196.78
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	74	70	$36.00	$12.27
99239 Hospital discharge day management, more than 30 minutes	61	58	$160.00	$103.90
93458 Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist	48	48	$851.00	$236.50
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	40	37	$512.50	$118.05
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$230.00	$137.01
93880 Ultrasound of both sides of head and neck blood flow	21	19	$329.52	$130.55
99220 Hospital observation care, typically 70 minutes	20	20	$230.00	$180.78
99217 Hospital observation care on day of discharge	18	18	$110.00	$70.47
92928 Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch	16	14	$1686.00	$554.13
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	15	$200.00	$119.80
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$230.00	$125.62
92941 Removal of plaque and blood clot, insertion of stent and/or balloon dilation of single vessel	13	13	$1889.00	$664.48
93227 Electrocardiogram (ecg) 2-day continuous with review by health care professional	12	12	$78.00	$26.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	664	553	$34.00	$8.19
99213 Established patient office or other outpatient visit, typically 15 minutes	330	244	$100.00	$59.14
99213 Established patient office or other outpatient visit, typically 15 minutes	208	158	$100.00	$48.74
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	163	104	$105.00	$67.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	153	119	$150.00	$86.81
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	118	108	$300.00	$61.36
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	93	69	$150.00	$73.61
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	91	61	$150.00	$100.31
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	79	71	$36.00	$11.84
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	72	70	$290.00	$187.00
99239 Hospital discharge day management, more than 30 minutes	59	58	$160.00	$102.68
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	51	49	$564.71	$129.91
93458 Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist	49	47	$851.00	$240.93
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$230.00	$135.85
92928 Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch	28	25	$1686.00	$549.75
99217 Hospital observation care on day of discharge	19	19	$110.00	$65.90
93459 Insertion of tube in left lower heart chamber, coronary artery and bypass graft for diagnosis with review by radiologist	15	15	$958.00	$232.76
99220 Hospital observation care, typically 70 minutes	15	15	$230.00	$178.51
93880 Ultrasound of both sides of head and neck blood flow	15	15	$269.33	$99.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$230.00	$116.77

Medical Specialties & State Licenses

CMS Verified: 2022-06-06

Internal Medicine - Interventional Cardiology Primary Specialty

NUCC Taxonomy Code: 207RI0011X

State License OK 20857

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

Internal Medicine - Cardiovascular Disease

NUCC Taxonomy Code: 207RC0000X

State License OK 20857

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

100161510A (OK)

Hospital & Practice Group Affiliations

Mercy Hospital Oklahoma City, Inc

4300 W Memorial Rd, Oklahoma City, OK 731208304

Phone: 4057551515

Mercy Hospital Oklahoma City, Inc

4300 W Memorial Dr, Oklahoma City, OK 731208304

Ohh Physicians Llc

4050 W Memorial Rd, Oklahoma City, OK 731208382

Phone: 4056083800

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 06, 2022

Internal Medicine (License #20857 in OK)

📍

Updated Practice Location November 06, 2020

Registered at 2017 W I 35 FRONTAGE RD STE 240, EDMOND, OK 730138550 (Tel: 4056084610)

📍

Updated Business Mailing Address July 17, 2020

Registered at 7800 NW 85TH TER, OKLAHOMA CITY, OK 731323385 (Tel: 4059727239)

✅

NPI Profile Active February 16, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location February 16, 2017

Registered at 2017 W I 35 FRONTAGE RD, SUITE 240, EDMOND, OK 730138504 (Tel: 4056084610)

📍

Updated Business Mailing Address February 16, 2017

Registered at 2017 W I 35 FRONTAGE RD STE 240, EDMOND, OK 730138504 (Tel: 4056084610)

👤

Provider Name / Credentials Updated February 16, 2017

Recorded as ATULKUMAR PATEL, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 16, 2017

Internal Medicine (License #20857 in OK)

✅

NPI Profile Active March 24, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location March 24, 2016

Registered at 2017 W I 35 FRONTAGE RD, SUITE 240, EDMOND, OK 730138504 (Tel: 4056084610)

📍

Updated Business Mailing Address March 24, 2016

Registered at 2017 W I 35 FRONTAGE RD STE 240, EDMOND, OK 730138504 (Tel: 4056084610)

👤

Provider Name / Credentials Updated March 24, 2016

Recorded as ATULKUMAR PATEL, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 24, 2016

Internal Medicine (License #20857 in OK)

🟢

Initial NPI Registration & Enumeration June 10, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1699779249

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 10, 2005

Last Update: June 06, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

7800 Nw 85th Ter

Oklahoma City, OK 731323385

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.