Individual provider Active NPI

Ayesha Sattar, MD

  • Child & Adolescent Psychiatry Physician
  • Oklahoma City, OK
National Provider Identifier
1104232768
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
30689 Issued in OK
Practice address
920 Stanton L Young Blvd # Wp3039
Oklahoma City, OK 73104-5036
Phone
(405) 271-4219
NPI assigned
Jul 3, 2014
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 30689 OK
Student in an Organized Health Care Education/Training Program 390200000X 30689 OK
Child & Adolescent Psychiatry Physician 2084P0804X 30689 OK Primary

Addresses

Primary practice location

920 Stanton L Young Blvd # Wp3039
Oklahoma City, OK 73104-5036

Mailing address

920 Stanton L Young Blvd # Wp3039
Oklahoma City, OK 73104-5036
Phone (405) 271-4219

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
I20180531000537 OK Practitioner - Psychiatry 1557626181 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Uhs Oklahoma City LLCGroup PAC ID 6507878113, 5 clinicians

Practice addresses (Care Compare)

6501 NE 50TH St
Cedar Ridge Behavioral Hospital
Oklahoma City, OK 73141-9118
Phone (405) 605-5111

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Uhs Oklahoma City LLC Psychiatry CurrentSince Jun 1, 2020 Accepting new patients
Norman Regional Providers Specialty Care CurrentSince May 1, 2020 Accepting new patients
Uhs of Oklahoma, LLC Past Accepting new patients
Uhs of Oklahoma, LLC Past Accepting new patients
Uhs Oklahoma City LLC Past Accepting new patients
Behavioral Health Porter Village, LLC Past Accepting new patients

Locations

3300 Healthplex Pkwy
Norman, OK 73072
Phone (405) 329-4102

901 N Porter Ave
Norman, OK 73071
Phone (405) 307-1500

6501 NE 50th St
Oklahoma City, OK 73141
Phone (405) 605-5111

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1404345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1104232768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 STANTON L YOUNG BLVD # WP3039",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731045036",
            "telephone_number": "405-271-4219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 STANTON L YOUNG BLVD # WP3039",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731045036",
            "telephone_number": "405-271-4219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SATTAR",
        "first_name": "AYESHA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-03",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OK",
            "license": "30689",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OK",
            "license": "30689",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "OK",
            "license": "30689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.