Individual provider Active NPI

Branislav Schifferdecker, M.D.

  • Interventional Cardiology Physician
  • Oklahoma City, OK
National Provider Identifier
1013973304
Registry record updated Jun 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
24815 Issued in OK
Practice address
4050 W Memorial Rd FL 3
Oklahoma City, OK 73120-8382
Phone
(405) 608-3800
Fax
(405) 608-3835
NPI assigned
Apr 25, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 21

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

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology), Internal Medicine, Nuclear Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McCurtain Memorial Medical Management, Inc. 14 clinicians
Ohh Physicians LLC 132 clinicians
Memorial Hospital of Texas County Authority 10 clinicians
Mercy Hospital Oklahoma City, Inc 37 clinicians

Practice addresses (Care Compare)

1301 E Lincoln Rd
Idabel, OK 74745-7300
Phone (580) 208-3103

4050 W Memorial Rd
FL 3
Oklahoma City, OK 73120-8382
Phone (405) 608-3800

421 Medical Dr
Guymon, OK 73942-3640
Phone (580) 338-6515

4300 W Memorial Dr
Oklahoma City, OK 73120-8304

4300 W Memorial Rd
Oklahoma City, OK 73120-8304
Phone (405) 755-1515

520 Medical Dr
Guymon, OK 73942-4438
Phone (580) 338-6515

Hospital & facility affiliations

  • Oklahoma Heart Hospital, LLC Hospital, Oklahoma City, OK, CCN 370215
  • Memorial Hospital of Texas County Authority Hospital, Guymon, OK, CCN 371340
  • Mercy Hospital Oklahoma City, Inc Hospital, Oklahoma City, OK, CCN 370013
  • Stillwater Medical-Blackwell Hospital, Blackwell, OK, CCN 370780
  • St Mary'S Regional Medical Center Hospital, Enid, OK, CCN 370026

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting111
Pacemaker insertion or repair16
Leg revascularization (restoring blood flow)32

Medicare participation

Medicare enrollment files
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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20060801000235 OK Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Nuclear MedicinePractitioner - Other (Physician) 6800857467 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
24815OKMDInternal Medicine Physician

Practice roles (11 of 12)

OrganizationSpecialtyStatusNew patients
McCurtain Memorial Medical Management, Inc. CurrentSince Jul 4, 2023 Accepting new patients
McCurtain Memorial Medical Management, Inc. Current Accepting new patients
Memorial Hospital of Texas County Authority CurrentSince Aug 19, 2012 Accepting new patients
Mercy Hospital Oklahoma City, Inc CurrentSince May 3, 2011 Accepting new patients
Mercy Hospital Oklahoma City, Inc Current Accepting new patients
Memorial Hospital of Texas County Authority CurrentSince Aug 19, 2012 Accepting new patients
McCurtain Memorial Medical Management, Inc. CurrentSince Jul 4, 2023 Accepting new patients
Ohh Physicians, LLC Cardiovascular Disease CurrentSince Jul 1, 2010 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Oklahoma Heart Hospital, LLC Cardiovascular Disease Past Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

1146 N Hills Ctr
Ada, OK 74820
Phone (580) 332-1080

1127 E Owen K Garriott Rd
Enid, OK 73701
Phone (580) 234-7320

421 Medical Dr
Guymon, OK 73942
Phone (580) 338-3135

520 Medical Dr
Guymon, OK 73942
Phone (580) 338-3113

1301 E Lincoln Rd
Idabel, OK 74745
Phone (580) 208-3103

4050 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 608-3200

7800 NW 85th Ter
Oklahoma City, OK 73132
Phone (405) 972-7239

5224 E I 240 Service Rd
Fl 2
Oklahoma City, OK 73135
Phone (405) 628-6800

4050 W Memorial Rd
#3
Oklahoma City, OK 73120

4300 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 752-3962

400 Fairview Ave
Ste 10
Ponca City, OK 74601
Phone (580) 762-7701

203 N Weigle Ave
Watonga, OK 73772
Phone (580) 623-2233

Networks

  • devoted network organization-2b183dd2-4e80-4977-80a6-4fdf0df4361d

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/texasco-757f88e4
  • Direct secure messaging: bschiffe@yourcarecommunity.org
  • FHIR API: https://fhir-myrecord.cerner.com/r4/I-7_h5bO8aC4DcrZl24eCXsg8gA1KGV3/
  • FHIR API: https://epicrp.okheart.com/Oauth2Proxy/MYCHART/api/FHIR/R4
  • Direct secure messaging: bschifferdecker22102@direct.okheart.com

Specialties & licenses 5

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 24815 OK
Cardiovascular Disease Physician 207RC0000X 24815 OK
Cardiovascular Disease Physician 207RC0000X 209845 MA
Interventional Cardiology Physician 207RI0011X 209845 MA
Interventional Cardiology Physician 207RI0011X 24815 OK Primary

Addresses

NPPES NPI Registry

Primary practice location

4050 W Memorial Rd FL 3
Oklahoma City, OK 73120-8382

Mailing address

7800 NW 85TH Ter
Oklahoma City, OK 73132-3385

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
200086870AMedicaidOK
PENDINGOtherOKRAILROAD MEDICARE

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
Direct Messaging Address bschifferdecker@direct.okheart.com Direct

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 6, 2022.

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1013973304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7800 NW 85TH TER",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731323385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4050 W MEMORIAL RD FL 3",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731208382",
            "telephone_number": "405-608-3800",
            "fax_number": "405-608-3835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHIFFERDECKER",
        "first_name": "BRANISLAV",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "24815",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OK",
            "license": "24815",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MA",
            "license": "209845",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "MA",
            "license": "209845",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "OK",
            "license": "24815",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200086870A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "PENDING",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bschifferdecker@direct.okheart.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4050 W Memorial Rd Fl 3",
            "city": "Oklahoma City",
            "state": "OK",
            "country_code": "US",
            "postal_code": "731208382",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.