Organization Active NPI

Oklahoma Gastro Health and Wellness

  • Gastroenterology Physician
  • Oklahoma City, OK
National Provider Identifier
1114605763
Registry record updated Jul 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
OKLAHOMA GASTRO HEALTH AND WELLNESS
Practice address
11100 Hefner Pointe Dr Unit B
Oklahoma City, OK 73120-5049
Phone
(405) 936-0504
Fax
(405) 936-0561
NPI assigned
Jul 5, 2023
Last updated
Jul 5, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2023

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

Authorized official

Name
Pooja Singhal, MDNPI 1588825368
Title
Owner/Provider
Phone
(405) 922-7014

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)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X NU Primary

Addresses

Primary practice location

11100 Hefner Pointe Dr Unit B
Oklahoma City, OK 73120-5049

Mailing address

3508 NW 173Rd Cir
Edmond, OK 73012-6765
Phone (405) 922-7014

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230928002995 OK Part B Supplier - Clinic/Group Practice 5597119263 Receives reassigned benefits from 2 practitioners
Practice locations: Oklahoma City, OK

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1688515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688515200000",
    "number": "1114605763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3508 NW 173RD CIR",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730126765",
            "telephone_number": "405-922-7014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11100 HEFNER POINTE DR UNIT B",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731205049",
            "telephone_number": "405-936-0504",
            "fax_number": "405-936-0561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKLAHOMA GASTRO HEALTH AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-05",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A",
        "authorized_official_last_name": "SINGHAL",
        "authorized_official_first_name": "POOJA",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "405-922-7014",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NU",
            "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 Jul 5, 2023; 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.

Verify at the official NPI Registry.