Active NPI
Branislav Schifferdecker, M.D.
- Interventional Cardiology Physician
- Oklahoma City, OK
On this page
- Key facts
- Organizations & group practices21
- Hospital & facility affiliations5
- Care Compare profile
- Medicare participation
- Medicare enrollment records1
- National Provider Directory
- Specialties & licenses5
- Addresses
- Other identifiers2
- Electronic endpoints1
- NPI Registry JSON
- Other providers in Oklahoma City, OK
- Sources for this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 24815
- 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.
-
- Cardiovascular Disease Physician
- Oklahoma City, OK
- NPI 1023087772
Cardiovascular Disease, OK
-
- Diagnostic Radiology Physician
- Yukon, OK
- NPI 1730326406
-
- Rural Health Clinic/Center
- Idabel, OK
- NPI 1427604719
-
- Rural Health Clinic/Center
- Broken Bow, OK
- NPI 1891341186
-
- Critical Access Hospital
- Idabel, OK
- NPI 1063900975
-
- Medicare Defined Swing Bed Hospital Unit
- Idabel, OK
- NPI 1336629385
-
- Rural Health Clinic/Center
- Valliant, OK
- NPI 1912248980
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1184721722
-
- Home Health Agency
- Oklahoma City, OK
- NPI 1437256070
-
- Physical Therapy Clinic/Center
- Edmond, OK
- NPI 1447541701
-
- Community Based Hospice Care Agency
- Oklahoma City, OK
- NPI 1487748646
-
- Surgery Physician
- De Queen, AR
- NPI 1548016694
-
- Certified Registered Nurse Anesthetist
- Idabel, OK
- NPI 1184838203
-
- Surgery Physician
- Idabel, OK
- NPI 1356506109
-
- Orthopaedic Surgery Physician
- Guymon, OK
- NPI 1992009039
-
- General Acute Care Hospital
- Altus, OK
- NPI 1093763781
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1083617005
Cardiovascular Disease
-
- General Acute Care Hospital
- Edmond, OK
- NPI 1356574560
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Guymon, OK
- NPI 1144205360
Hospital
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1184721722
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Cardiology
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- McCurtain Memorial Medical Management, Inc.Ohh Physicians LLCMemorial Hospital of Texas County AuthorityMercy Hospital Oklahoma City, Inc
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
- Memorial Hospital of Texas County Authority
- Mercy Hospital Oklahoma City, Inc
- Stillwater Medical-Blackwell
- St Mary'S Regional Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 111 |
| Pacemaker insertion or repair | 16 |
| 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
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060801000235 | OK | Practitioner - Interventional Cardiology | 6800857467 | Reassigns benefits to 4 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24815 | OK | MD | Internal Medicine Physician |
Practice roles (11 of 12)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McCurtain Memorial Medical Management, Inc. | Current | Accepting new patients | |
| McCurtain Memorial Medical Management, Inc. | Current | Accepting new patients | |
| Memorial Hospital of Texas County Authority | Current | Accepting new patients | |
| Mercy Hospital Oklahoma City, Inc | Current | Accepting new patients | |
| Mercy Hospital Oklahoma City, Inc | Current | Accepting new patients | |
| Memorial Hospital of Texas County Authority | Current | Accepting new patients | |
| McCurtain Memorial Medical Management, Inc. | Current | Accepting new patients | |
| Ohh Physicians, LLC | Cardiovascular Disease | Current | 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
- https://fhir-usa.unify.chbase.com/org/texasco-757f88e4
- bschiffe@yourcarecommunity.org
- https://fhir-myrecord.cerner.com/r4/I-7_h5bO8aC4DcrZl24eCXsg8gA1KGV3/
- https://epicrp.okheart.com/Oauth2Proxy/MYCHART/api/FHIR/R4
- bschifferdecker22102@direct.okheart.com
Specialties & licenses 5
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200086870A | Medicaid | OK | |
| PENDING | Other | OK | RAILROAD MEDICARE |
Electronic endpoints 1
NPPES NPI Registry| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.