Individual provider Active NPI

Azhar Shakeel, M.D

  • Family Medicine Physician
  • Henryetta, OK
National Provider Identifier
1114124674
Registry record updated Jul 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25016 Issued in OK
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

Updated by the provider on Jul 14, 2010

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090603000392 OK Practitioner - Family PracticePractitioner - Emergency Medicine 6305996885 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urgent Care of Muskogee PLLCGroup PAC ID 5698090926, 3 clinicians

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

OrganizationSpecialtyStatusNew patients
Muskogee Medical Care PLLC Family Medicine Current Accepting new patients
Urgent Care of Muskogee PLLC CurrentSince Mar 1, 2015 Accepting new patients
Urgent Care of Muskogee PLLC Family Medicine CurrentSince Mar 1, 2015 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.