NPIMap

Individual provider Active NPI

Jahanyar John Makipour, Jr, MD

  • Surgery Physician
  • Midwest City, OK
National Provider Identifier
1063618650
Registry record updated Sep 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
25696 Issued in OK
Practice address
9020 E Reno Ave FL 2
Midwest City, OK 73130-3336
Phone
(405) 732-7715
NPI assigned
Jun 21, 2007
Last updated
Sep 16, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 25696 OK Primary

Addresses

Primary practice location

9020 E Reno Ave FL 2
Midwest City, OK 73130-3336

Mailing address

333 S 38TH St
Muskogee, OK 74401-4937
Phone (918) 686-8040

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jahanyar.makipour.1@4696.direct.athenahealth.com

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
I20120827000198 OK Practitioner - General Surgery 6204083264 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Oklahoma College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saints Medical Group, LLCGroup PAC ID 7012914898, 430 clinicians

Practice addresses (Care Compare)

535 NW
9TH Suite 235
Okahoma City, OK 73102-1070
Phone (405) 772-4338

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.96 of 100Reported as group
Quality
80.43
Promoting interoperability
100
Improvement activities
40
Cost
72.76

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)17
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25696OKMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saints Medical Group, LLC CurrentSince Feb 1, 2021 Accepting new patients
Saints Medical Group, LLC CurrentSince Feb 1, 2021 Accepting new patients
Summit Medical Center Past Accepting new patients
SSM Health Care of Oklahoma, Inc Past Accepting new patients

Locations

535 NW 9th St
Ste 235
Oklahoma City, OK 73102
Phone (405) 272-6877

608 NW 9th St
Ste 2200
Oklahoma City, OK 73102
Phone (405) 231-3737

9020 E Reno Ave
Fl 2
Oklahoma City, OK 73130
Phone (405) 732-7715

Interoperability endpoints

  • Direct secure messaging: jahanyar.makipour.1@4696.direct.athenahealth.com
  • Direct secure messaging: jmakipour37551@direct-ehr-ssmhc.com
  • Direct secure messaging: makipouj@yourcarecommunity.org

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.

Hospital & facility affiliations 5

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": "1182384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600214400000",
    "number": "1063618650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 S 38TH ST",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744014937",
            "telephone_number": "918-686-8040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9020 E RENO AVE FL 2",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731303336",
            "telephone_number": "405-732-7715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKIPOUR, JR",
        "first_name": "JAHANYAR",
        "middle_name": "JOHN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-21",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OK",
            "license": "25696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jahanyar.makipour.1@4696.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "9020 E Reno Ave Fl 2",
            "city": "Midwest City",
            "state": "OK",
            "country_code": "US",
            "postal_code": "731303336",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Midwest City, OK

Sources for this page

Verify at the official NPI Registry.