Individual provider Active NPI

Darius Noori, M.D

  • Psychiatry Physician
  • Moore, OK
National Provider Identifier
1053352872
Registry record updated Apr 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
21921 Issued in OK
Practice address
204 S Riverside Dr
Moore, OK 73160
Phone
(405) 759-2138
Fax
(405) 759-2138
NPI assigned
Jun 10, 2006
Last updated
Apr 26, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 21921 OK Primary

Addresses

Primary practice location

204 S Riverside Dr
Moore, OK 73160

Mailing address

204 Riverside Dr
Moore, OK 73160-1237
Phone (405) 799-6900

Other identifiers 1

IdentifierTypeStateIssuer
200035170AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040719000322 OK Practitioner - Psychiatry 3779562194 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21921OKMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oakwood Springs Physician Group LLC Psychiatry CurrentSince Apr 1, 2025 Accepting new patients
Oakwood Springs, LLC PastSince Apr 1, 2025 Accepting new patients
Ips Research Company Psychiatry Past Accepting new patients

Locations

13101 Memorial Springs Ct
Oklahoma City, OK 73114
Phone (405) 438-3000

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556236800000",
    "number": "1053352872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 RIVERSIDE DR",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731601237",
            "telephone_number": "405-799-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 S RIVERSIDE DR",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "73160",
            "telephone_number": "405-759-2138",
            "fax_number": "405-759-2138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOORI",
        "first_name": "DARIUS",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-10",
        "last_updated": "2019-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OK",
            "license": "21921",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200035170A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moore, OK

Sources for this page

Verify at the official NPI Registry.