Individual provider Active NPI

Aswathy Kumar Vaikom House, MD M.B.B.S.

  • Pediatric Cardiology Physician
  • Oklahoma City, OK
National Provider Identifier
1023364890
Registry record updated Jan 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
33833 Issued in OK
Practice address
Ou Childrens Hospital
1200 Everett Dr.
Oklahoma City, OK 73104
Phone
(405) 271-4411
NPI assigned
Jul 31, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X TEP6871 NE
Pediatric Cardiology Physician 2080P0202X 33833 OK Primary

Addresses

Primary practice location

Ou Childrens Hospital
1200 Everett Dr.
Oklahoma City, OK 73104

Mailing address

1200 Everett Dr # Np2350
Oklahoma City, OK 73104-5047
Phone (405) 271-4411

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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180926003642 OK Practitioner - Pediatric MedicinePractitioner - Cardiovascular Disease (Cardiology) 0547493017 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Cardiovascular Disease (Cardiology)
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ou Health Partners IncGroup PAC ID 5991105876, 1,167 clinicians

Practice addresses (Care Compare)

1200 Childrens Ave
Oklahoma City, OK 73104-4637
Phone (405) 271-2669

4205 McAuley Blvd
Suite 380
Oklahoma City, OK 73120-9300
Phone (405) 752-3018

900 NE 10TH St
Ouhp Family Medicine
Oklahoma City, OK 73104-5420
Phone (572) 244-0065

Hospital & facility affiliations

  • O U Medical Center Hospital, Oklahoma City, OK, CCN 370093

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TEP6871NEMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ou Health Partners, Inc CurrentSince Jul 1, 2021 Accepting new patients
Board of Regents of the University of Oklahoma - Ou Physicians CurrentSince Aug 31, 2018 Accepting new patients
Board of Regents of the University of Oklahoma - Ou Physicians CurrentSince Aug 31, 2018 Accepting new patients
Ou Health Partners, Inc CurrentSince Jul 1, 2021 Accepting new patients
Mercy Hospital Oklahoma City, Inc CurrentSince Sep 18, 2022 Accepting new patients
Mercy Hospital Oklahoma City, Inc Current Accepting new patients
Ou Medicine Inc. Past Accepting new patients

Locations

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

4205 McAuley Blvd
Ste 380
Oklahoma City, OK 73120
Phone (405) 752-3018

1200 Everett Dr
#2350
Oklahoma City, OK 73104
Phone (405) 271-4411

825 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-4864

1200 Childrens Ave
Ste 2F
Oklahoma City, OK 73104
Phone (405) 271-4411

1200 Everett Dr
Oklahoma City, OK 73104
Phone (405) 271-5125

900 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-2230

Interoperability endpoints

  • Direct secure messaging: avaikomhouse29591@ouhealth.direct-ci.net

Organizations & group practices 7

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 1

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

NPI Registry JSON

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

{
    "created_epoch": "1343692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546387200000",
    "number": "1023364890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 EVERETT DR # NP2350",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731045047",
            "telephone_number": "405-271-4411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "OU CHILDRENS HOSPITAL",
            "address_2": "1200 EVERETT DR.",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73104",
            "telephone_number": "405-271-4411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAIKOM HOUSE",
        "first_name": "ASWATHY",
        "middle_name": "KUMAR",
        "credential": "MD M.B.B.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-31",
        "last_updated": "2019-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NE",
            "license": "TEP6871",
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "OK",
            "license": "33833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.