Individual provider Active NPI

Aayshah Muneerah, M.D.

  • Family Medicine Physician
  • Oklahoma City, OK
National Provider Identifier
1114068756
Registry record updated Mar 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
23534 Issued in OK
Practice address
2915 Pine Ridge Rd
Oklahoma City, OK 73120-6111
Phone
(405) 456-1000
Fax
(405) 456-7495
NPI assigned
Feb 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2019

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 23534 OK Primary

Addresses

Primary practice location

2915 Pine Ridge Rd
Oklahoma City, OK 73120-6111

Mailing address

2915 Pine Ridge Rd
Oklahoma City, OK 73120-6111
Phone (405) 456-1000

Other practice location 1

1025 Straka Ter
Oklahoma City, OK 73139-2544
Phone (405) 632-6688

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
I20141113001070 OK Order and Referring Only - Family PracticePractitioner - Family Practice 2668578774

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Center Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553644800000",
    "number": "1114068756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2915 PINE RIDGE RD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731206111",
            "telephone_number": "405-456-1000",
            "fax_number": "405-456-7495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2915 PINE RIDGE RD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731206111",
            "telephone_number": "405-456-1000",
            "fax_number": "405-456-7495"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1025 Straka Ter",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731392544",
            "country_code": "US",
            "telephone_number": "405-632-6688",
            "fax_number": "405-604-0708",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUNEERAH",
        "first_name": "AAYSHAH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2019-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "23534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.