Naveena Sesikeran Boindala, MD

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

26489 Issued in OK

Practice address

2601 Spencer Rd
Spencer, OK 73084-3649

Phone

(405) 427-2441

Fax

(405) 427-4741

NPI assigned

Aug 1, 2008

Last updated

Jul 21, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nboindala15497@direct.integrisok.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Integris Ambulatory Care Corporation

  dba INTEGRIS Medical Group

  • Family Medicine Physician
  • Oklahoma City, OK
  • NPI 1750333936
  Medicare reassignment NPD
• Integris Baptist Medical Center Inc

  • Psychiatric Hospital Unit
  • Spencer, OK
  • NPI 1124346754
  NPD (past)
• Integris Baptist Medical Center Inc

  dba Integris Mental Health Center

  • Psychiatric Hospital Unit
  • Spencer, OK
  • NPI 1659443372
  NPD (past)
• Integris Baptist Medical Center Inc

  dba Integris Mental Health Center Acute

  • Psychiatric Hospital Unit
  • Spencer, OK
  • NPI 1881760759
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1217548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500595200000",
    "number": "1013173780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 N INDEPENDENCE AVE",
            "address_2": "SUITE 280",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731125556",
            "telephone_number": "405-427-2441",
            "fax_number": "405-427-4741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 SPENCER RD",
            "city": "SPENCER",
            "state": "OK",
            "postal_code": "730843649",
            "telephone_number": "405-427-2441",
            "fax_number": "405-427-4741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOINDALA",
        "first_name": "NAVEENA",
        "middle_name": "SESIKERAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-01",
        "last_updated": "2017-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "OK",
            "license": "26489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Lynn Baker, L.C.S.W.
• Natasha Barnett
• Diedra Lynne Bass, MSW
• Tiffany Clevette Black
• Genae Blakely
• Gina C. Bostick, D.D.S.
• Tiffany Jekara Bowen
• Shameka L Boyd
• Daniell Monique Brown, MSW-U/S
• Frank Cecil Calvin

• Child & Adolescent Psychiatry Physician in Spencer, OK
• Providers in Spencer, OK by specialty
• Child & Adolescent Psychiatry Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.