NPIMap

Individual provider Active NPI

Elisa Depani-Sparkes, D.O.

  • Obstetrics Physician
  • Edmond, OK
National Provider Identifier
1043294861
Registry record updated Mar 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
4254 Issued in OK
Practice address
4833 Integris Pkwy
Suite 200
Edmond, OK 73034-8864
Phone
(405) 657-3825
Fax
(405) 657-3824
NPI assigned
Dec 5, 2005
Last updated
Mar 8, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics Physician 207VX0000X 4254 OK Primary

Addresses

Primary practice location

4833 Integris Pkwy
Suite 200
Edmond, OK 73034-8864

Mailing address

5300 N Independence Ave
280
Oklahoma City, OK 73112-5556
Phone (405) 657-3825

Other identifiers 1

IdentifierTypeStateIssuer
200077710AMedicaidOK

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
I20061113000189 OK Practitioner - Obstetrics/Gynecology 3870507841 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Nova Southeastern College of Osteo Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integris Ambulatory Care CorporationGroup PAC ID 2365408465, 687 clinicians
Optimal Health Associates LLCGroup PAC ID 0446602536, 12 clinicians

Practice addresses (Care Compare)

4833 Integris Pkwy
Suite 200
Edmond, OK 73034-8864
Phone (405) 657-3825

9800 Broadway Ext
Suite 200
Oklahoma City, OK 73114-6304
Phone (405) 715-4496

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Integris Ambulatory Care Corporation CurrentSince Jul 21, 2008 Accepting new patients
Optimal Health Associates LLC CurrentSince Jan 1, 2026 Accepting new patients

Locations

4833 Integris Pkwy
Ste 200
Edmond, OK 73034
Phone (405) 657-3825

3400 NW Expressway
Ste 500
Oklahoma City, OK 73112
Phone (405) 945-4589

5300 N Independence Ave
Ste 280
Oklahoma City, OK 73112
Phone (405) 552-0155

9800 Broadway Ext
Ste 200
Oklahoma City, OK 73114
Phone (405) 715-4496

Interoperability endpoints

  • Direct secure messaging: esparkes14424@direct.integrisok.com
  • FHIR API: https://api.platform.athenahealth.com/23872/brand/5/csg/61/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/CJBCDD/Endpoint/CJBCDD

Organizations & group practices 2

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.

Hospital & facility affiliations 7

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": "1133740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520467200000",
    "number": "1043294861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 N INDEPENDENCE AVE",
            "address_2": "280",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731125556",
            "telephone_number": "405-657-3825",
            "fax_number": "405-657-3824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4833 INTEGRIS PKWY",
            "address_2": "SUITE 200",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730348864",
            "telephone_number": "405-657-3825",
            "fax_number": "405-657-3824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEPANI-SPARKES",
        "first_name": "ELISA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-05",
        "last_updated": "2018-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "OK",
            "license": "4254",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200077710A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

Verify at the official NPI Registry.