Individual provider Active NPI

Priya Samant, M.D.

  • Internal Medicine Physician
  • Oklahoma City, OK
National Provider Identifier
1114901204
Registry record updated Sep 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
18731 Issued in OK
Practice address
1006 NE 17TH St
Oklahoma City, OK 73111-1002
Phone
(405) 272-0476
Fax
(405) 272-0730
NPI assigned
Dec 1, 2005
Last updated
Sep 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 18731 OK Primary
Pediatrics Physician 208000000X 18731 OK

Addresses

Primary practice location

1006 NE 17TH St
Oklahoma City, OK 73111-1002

Mailing address

PO Box 30589
Midwest City, OK 73140-3589
Phone (405) 769-3301

Other identifiers 2

IdentifierTypeStateIssuer
100231030AMedicaidOK
18731OtherOKMEDICAL LICENSE

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
I20100518000426 OK Practitioner - Internal Medicine 6901935691 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health Centers, Inc.Group PAC ID 4688584436, 10 clinicians

Practice addresses (Care Compare)

1006 NE 17TH St
Oklahoma City, OK 73111-1002
Phone (405) 769-3301

12716 NE 36TH St
Mary Mahoney Mem HLTH Ctr
Spencer, OK 73084-9167
Phone (405) 769-3301

5301 S Dimple Dr
Oklahoma City, OK 73135-2461
Phone (405) 674-0028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18731OKMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Centers Inc. CurrentSince Jan 31, 2010 Accepting new patients
Community Health Centers, Inc. CurrentSince Jan 31, 2010 Accepting new patients
Community Health Centers, Inc. Past Accepting new patients
SSM Health Care of Oklahoma, Inc. Past Accepting new patients

Locations

1006 NE 17th St
Oklahoma City, OK 73111
Phone (405) 419-9800

1901 Springlake Dr
#A
Oklahoma City, OK 73111
Phone (405) 521-8486

411 NW 11th St
Oklahoma City, OK 73103
Phone (405) 272-0476

5301 S Dimple Dr
Oklahoma City, OK 73135
Phone (405) 674-0028

130 N Broadway Ave
Ste 300
Shawnee, OK 74801
Phone (405) 395-0399

12716 NE 36th St
Spencer, OK 73084
Phone 40576933011254

Interoperability endpoints

  • Direct secure messaging: psamant@chciokc.directbygreenway.com

Organizations & group practices 4

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": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790035200000",
    "number": "1114901204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30589",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731403589",
            "telephone_number": "405-769-3301",
            "fax_number": "405-769-9685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1006 NE 17TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731111002",
            "telephone_number": "405-272-0476",
            "fax_number": "405-272-0730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMANT",
        "first_name": "PRIYA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-01",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "18731",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OK",
            "license": "18731",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100231030A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "18731",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.