Active NPI
Crescent Infusion Health Clinic PLLC
- Infectious Disease Physician
- Oklahoma City, OK
National Provider Identifier
1093563546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- Legal business name
- CRESCENT INFUSION HEALTH CLINIC PLLC
- Practice address
- 1111 N Lee Ave Ste 249
Oklahoma City, OK 73103-2600 - Phone
- (855) 541-2862
- Fax
- (405) 716-4808
- NPI assigned
- May 9, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Saud Iqbal Ahmed, MD
- Title
- Ceo
- Phone
- (405) 248-7407
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | Primary |
Addresses
Primary practice location
1111 N Lee Ave Ste 249
Oklahoma City, OK 73103-2600
Mailing address
1111 N Lee Ave # 249
Oklahoma City, OK 73103-2600
Phone (405) 594-5848
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240530000643 | OK | Part B Supplier - Clinic/Group Practice | 5395187702 |
Receives reassigned benefits from 3 practitioners Practice locations: Oklahoma City, OK |
National Provider Directory
National Provider DirectoryLocations
1111 N Lee Ave
#249
Oklahoma City, OK 73103
Phone (405) 236-5479
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Infectious Disease Physician
- Oklahoma City, OK
- NPI 1558507962
Infectious Disease, OK
-
- Infectious Disease Physician
- Mountain Home, TN
- NPI 1629424874
Infectious Disease, OK
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715212800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1736985600000",
"number": "1093563546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 N LEE AVE # 249",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731032600",
"telephone_number": "405-594-5848",
"fax_number": "405-594-5847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 N LEE AVE STE 249",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731032600",
"telephone_number": "855-541-2862",
"fax_number": "405-716-4808"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CRESCENT INFUSION HEALTH CLINIC PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-05-09",
"last_updated": "2025-01-16",
"certification_date": "2025-01-16",
"status": "A",
"authorized_official_last_name": "AHMED",
"authorized_official_first_name": "SAUD",
"authorized_official_middle_name": "IQBAL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "405-248-7407",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Infectious Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.