Individual provider Active NPI

Jennifer Vengkatraman Collins, MD

  • Family Medicine Physician
  • Oklahoma City, OK
National Provider Identifier
1063672277
Registry record updated Feb 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
26437 Issued in OK
Practice address
1000 N Lee Ave
Oklahoma City, OK 73102-1036
Phone
(405) 272-6406
NPI assigned
Jun 11, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 26437 OK Primary

Addresses

Primary practice location

1000 N Lee Ave
Oklahoma City, OK 73102-1036

Mailing address

200 NW 16TH St
Oklahoma City, OK 73103-3409
Phone (405) 272-6406

Other names 1

  • Jennifer Ainsworth Former name

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
I20110914000160 OK Practitioner - Family Practice 2860663390 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Transitional Care Organization LLCGroup PAC ID 2961894035, 11 clinicians
Spectrum Rehab Specialists LLCGroup PAC ID 7315308616, 5 clinicians

Practice addresses (Care Compare)

Oklahoma City, OK 73118
Phone (405) 259-2333

4220 N Classen Blvd
Suite a
Oklahoma City, OK 73118-2434
Phone (405) 768-5749

Hospital & facility affiliations

  • Valir Hospice Care, LLC Hospice, Oklahoma City, OK, CCN 371653
  • SSM Health St Anthony Hospital - Oklahoma City Hospital, Oklahoma City, OK, CCN 370037
  • Integris Baptist Medical Center, Inc Hospital, Oklahoma City, OK, CCN 370028
  • McBride Orthopedic Hospital Hospital, Oklahoma City, OK, CCN 370222
  • Mercy Hospital Oklahoma City, Inc Hospital, Oklahoma City, OK, CCN 370013
  • O U Medical Center Hospital, Oklahoma City, OK, CCN 370093
  • Oklahoma City Rehabilitation Hospital, LLC Inpatient rehabilitation facility, Oklahoma City, OK, CCN 373038

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26437OKMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Hospital Medicine Associates PC CurrentSince Apr 1, 2019 Accepting new patients
Metro Physicians LLC CurrentSince Nov 4, 2023 Accepting new patients
Spectrum Rehab Specialists, LLC CurrentSince Jan 1, 2026 Accepting new patients
Transitional Care Organization LLC CurrentSince Jun 1, 2024 Accepting new patients
SSM Health Care of Oklahoma, Inc. Past Accepting new patients
Oklahoma City Rehabilitation Hospital, LLC Past Accepting new patients
Inpatient Consultants of Texas, PLLC Family Medicine Past Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients

Locations

4220 N Classen Blvd
Ste A
Oklahoma City, OK 73118
Phone (405) 768-5749

4220 N Classen Blvd
Ste D
Oklahoma City, OK 73118
Phone (405) 259-2333

2825 Parklawn Dr
Oklahoma City, OK 73110
Phone (405) 245-1453

1000 N Lee Ave
Oklahoma City, OK 73102
Phone (405) 272-6152

700 NW 7th St
Oklahoma City, OK 73102
Phone (405) 609-3600

3233 NW 10th St
Oklahoma City, OK 73107
Phone (405) 943-8366

3300 NW Expressway St
Oklahoma City, OK 73112
Phone (405) 251-2815

1111 N Lee Ave
Ste 305
Oklahoma City, OK 73103
Phone (405) 272-4978

1201 Health Center Pkwy
Yukon, OK 73099
Phone (405) 717-6800

Interoperability endpoints

  • Direct secure messaging: jcollins87383@direct-ehr-ssmhc.com
  • Direct secure messaging: jcolli78@yourcarecommunity.org

Organizations & group practices 8

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 11

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": "1213142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423612800000",
    "number": "1063672277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 NW 16TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731033409",
            "telephone_number": "405-272-6406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N LEE AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731021036",
            "telephone_number": "405-272-6406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "JENNIFER",
        "middle_name": "VENGKATRAMAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-11",
        "last_updated": "2015-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "26437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "AINSWORTH",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.