Active NPI
Azhar Shakeel, M.D
- Family Medicine Physician
- Henryetta, OK
National Provider Identifier
1114124674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 25016
- Practice address
- Dewey Bartlett & Main
Henryetta, OK 74023-4101 - Phone
- (918) 650-1323
- Fax
- (918) 650-1100
- NPI assigned
- Jun 28, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 25016 | OK | Primary |
Addresses
Primary practice location
Dewey Bartlett & Main
Henryetta, OK 74023-4101
Mailing address
1145 S. Utica Ave.
Suite 110
Tulsa, OK 74104-4013
Phone (918) 579-3826
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090603000392 | OK | Practitioner - Family Practice | 6305996885 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Urgent Care of Muskogee PLLC
Practice addresses (Care Compare)
384 S 33Rd St
Suite D
Muskogee, OK 74401-5065
Phone (918) 686-0400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Muskogee Medical Care PLLC | Family Medicine | Current | Accepting new patients |
| Urgent Care of Muskogee PLLC | Current | Accepting new patients | |
| Urgent Care of Muskogee PLLC | Family Medicine | Current | Accepting new patients |
| Midwest Hospitalists Services PLLC | Past | Accepting new patients | |
| Integris Baptist Regional Health Center | Past | Accepting new patients | |
| South Central Emergency Services PC | Past | Accepting new patients | |
| Ahs Oklahoma Physician Group LLC | Family Medicine | Past | Accepting new patients |
Locations
384 S 33rd St
Ste D
Muskogee, OK 74401
Phone (918) 681-6560
6966 S Utica Ave
Ste 225
Tulsa, OK 74136
Phone (855) 492-6333
Interoperability endpoints
- https://epicproxy.ardenthealth.com/fhir/UPC/api/FHIR/R4
Organizations & group practices 8
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.
-
- Medical Specialty Clinic/Center
- Muskogee, OK
- NPI 1740678622
Family Medicine, OK
-
- Urgent Care Clinic/Center
- Wagoner, OK
- NPI 1871120022
-
- Emergency Care Clinic/Center
- Miami, OK
- NPI 1811952963
-
- Hospitalist Physician
- Tahlequah, OK
- NPI 1023098936
-
- Emergency Medicine Physician
- Stillwater, OK
- NPI 1558663724
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279065600000",
"number": "1114124674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1145 S. UTICA AVE.",
"address_2": "SUITE 110",
"city": "TULSA",
"state": "OK",
"postal_code": "741044013",
"telephone_number": "918-579-3826",
"fax_number": "918-579-1262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "DEWEY BARTLETT & MAIN",
"city": "HENRYETTA",
"state": "OK",
"postal_code": "740234101",
"telephone_number": "918-650-1323",
"fax_number": "918-650-1100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAKEEL",
"first_name": "AZHAR",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-28",
"last_updated": "2010-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OK",
"license": "25016",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Henryetta, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.