NPIMap

Individual provider Active NPI

Rafael Justiz III, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Oklahoma City, OK
National Provider Identifier
1043226384
Registry record updated Jun 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
27480 Issued in OK
Practice address
4117 NW 122ND St Ste C
Oklahoma City, OK 73120
Phone
(405) 463-3380
Fax
(405) 463-5732
NPI assigned
Jul 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 27480 OK Primary

Addresses

Primary practice location

4117 NW 122ND St Ste C
Oklahoma City, OK 73120

Mailing address

PO Box 268953
Oklahoma City, OK 73126-8953
Phone (405) 463-3380

Other practice location 1

1215 Crossroads Blvd Ste 100
Norman, OK 73072-3359
Phone (405) 310-2715

Other identifiers 1

IdentifierTypeStateIssuer
200109590AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100512000096 OK Practitioner - Pain ManagementPractitioner - Anesthesiology 2466484787 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
Medical College of Wisconsin, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oklahoma Pain Physicians PCGroup PAC ID 1658506290, 6 clinicians
Oklahoma Pain Management PLLCGroup PAC ID 8123117066, 9 clinicians

Practice addresses (Care Compare)

1215 Crossroads Blvd
Suite 100
Norman, OK 73072-3334
Phone (405) 310-2715

4117 NW 122ND St
Suite C
Oklahoma City, OK 73120-8878
Phone (405) 463-3380

4409 N Kickapoo Ave
Suite 129
Shawnee, OK 74804-1225
Phone (405) 242-4100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
27480OKMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oklahoma Pain Physicians PC CurrentSince Jul 25, 2013 Accepting new patients
Oklahoma Pain Management PLLC CurrentSince Feb 1, 2026 Accepting new patients
Surgical Hospital of Oklahoma LLC CurrentSince Jul 22, 2020 Accepting new patients
The Physicians Group LLC PastSince Feb 1, 2026 Accepting new patients
NPI 1417204140 Past Accepting new patients
Summit Medical Center Past Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Florida Gulf-to-Bay Anesthesiology Associates, LLC Pain Medicine Past Accepting new patients

Locations

2222 W Iowa Ave
Chickasha, OK 73018

4023 N Flood Ave
Norman, OK 73069
Phone (405) 242-4100

1215 Crossroads Blvd
Ste 100
Norman, OK 73072
Phone (405) 310-2715

14101 Parkway Commons Dr
Oklahoma City, OK 73134
Phone (405) 749-2700

4117 NW 122nd St
Ste C
Oklahoma City, OK 73120
Phone (405) 463-3380

100 SE 59th St
Oklahoma City, OK 73129
Phone (405) 364-9789

3200 Quail Springs Pkwy
Ste 100
Oklahoma City, OK 73134
Phone (405) 418-5400

13313 N Meridian Ave
Ste B
Oklahoma City, OK 73120
Phone (405) 755-4140

1500 N Green Ave
Purcell, OK 73080
Phone (405) 527-2250

4409 N Kickapoo Ave
Ste 129
Shawnee, OK 74804
Phone (405) 395-2426

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EIFJCA/Endpoint/EIFJCA
  • Direct secure messaging: rafael.justiz@direct.myteamcare.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/GJFAED/Endpoint/GJFAED

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 9

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": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686614400000",
    "number": "1043226384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 268953",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731268953",
            "telephone_number": "405-463-3380",
            "fax_number": "405-635-7324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4117 NW 122ND ST STE C",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73120",
            "telephone_number": "405-463-3380",
            "fax_number": "405-463-5732"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1215 Crossroads Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Norman",
            "state": "OK",
            "postal_code": "730723359",
            "country_code": "US",
            "telephone_number": "405-310-2715",
            "fax_number": "405-310-6720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JUSTIZ",
        "first_name": "RAFAEL",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "OK",
            "license": "27480",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200109590A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.