Individual provider Active NPI

Aaron Paul, MD

  • Anesthesiology Physician
  • Oklahoma City, OK
National Provider Identifier
1093379539
Registry record updated May 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
1093379539 Issued in OK
Practice address
750 NE 13TH St Ste 200
Oklahoma City, OK 73104-5024
Phone
(405) 271-4351
NPI assigned
Apr 30, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Anesthesiology Physician 207L00000X 1093379539 OK Primary

Addresses

Primary practice location

750 NE 13TH St Ste 200
Oklahoma City, OK 73104-5024

Mailing address

1802 E 19TH St
Kravis Building
Tulsa, OK 74104-5403
Phone (918) 634-7500

Other practice location 1

1924 S Utica Ave
Tulsa, OK 74104-6510
Phone (918) 744-2345

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
I20240708001423 OK Practitioner - Anesthesiology 8729522305 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Oklahoma College of Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Affiliated Anesthesiologists, LLCGroup PAC ID 4688701204, 49 clinicians

Practice addresses (Care Compare)

4300 W Memorial Rd
Mercy Health Center Inc
Oklahoma City, OK 73120-8304
Phone (405) 755-1515

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1093379539OKMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Affiliated Anesthesiologists, LLC Anesthesiology CurrentSince Jun 1, 2024 Accepting new patients
St. John Physicians, Inc. Past Accepting new patients

Locations

4300 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 752-3962

4317 W Memorial Rd
Oklahoma City, OK 73134
Phone (405) 755-6240

13321 N Meridian Ave
Ste 402
Oklahoma City, OK 73120
Phone (405) 755-1080

Dept 960431
Oklahoma City, OK 73196

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1556582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590451200000",
    "number": "1093379539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1802 E 19TH ST",
            "address_2": "KRAVIS BUILDING",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741045403",
            "telephone_number": "918-634-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 NE 13TH ST STE 200",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731045024",
            "telephone_number": "405-271-4351"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1924 S Utica Ave",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741046510",
            "country_code": "US",
            "telephone_number": "918-744-2345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAUL",
        "first_name": "AARON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-30",
        "last_updated": "2020-05-26",
        "certification_date": "2020-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OK",
            "license": "1093379539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.