Organization Active NPI

Classen Family Practice LLC

Doing business as Classen Family Medicine

  • Family Medicine Physician
  • Moore, OK
National Provider Identifier
1063927408
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CLASSEN FAMILY PRACTICE LLC
Doing business as
Classen Family Medicine
Classen Family Medicine-Shawnee
Practice address
1015 SW 4TH St
Moore, OK 73160-2404
Phone
(405) 378-2001
Fax
(405) 445-7660
NPI assigned
Dec 7, 2017
Last updated
Apr 28, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
CLASSEN FAMILY PRACTICE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 28, 2026

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

Authorized official

Name
Hussein Torbati
Title
Managing Member
Phone
(405) 701-7111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1015 SW 4TH St
Moore, OK 73160-2404

Mailing address

2818 Classen Blvd
Norman, OK 73071-4059
Phone (405) 701-3563

Other identifiers 1

IdentifierTypeStateIssuer
200523620BMedicaidOK

Other names 2

  • Classen Family Medicine Doing business as
  • Classen Family Medicine-Shawnee Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131212000066 OK Part B Supplier - Clinic/Group Practice 8729215025 Receives reassigned benefits from 12 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Moore, OK; Noble, OK; Norman, OK

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
37D2145346Classen Family Practice - Moore1015 SW 4TH St, Moore, OK 73160Certificate of waiverMar 5, 2028

National Provider Directory

National Provider Directory
Part of
Classen Family Practice LLC

Locations

211 S Main St
Noble, OK 73068
Phone (405) 701-3563

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1512604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777334400000",
    "number": "1063927408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2818 CLASSEN BLVD",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730714059",
            "telephone_number": "405-701-3563",
            "fax_number": "405-310-5194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 SW 4TH ST",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731602404",
            "telephone_number": "405-378-2001",
            "fax_number": "405-445-7660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLASSEN FAMILY PRACTICE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CLASSEN FAMILY PRACTICE LLC",
        "enumeration_date": "2017-12-07",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A",
        "authorized_official_last_name": "TORBATI",
        "authorized_official_first_name": "HUSSEIN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "405-701-7111"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200523620B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Classen Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Classen Family Medicine-Shawnee",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Moore, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.