NPIMap

Individual provider Active NPI

Muhammad Monem Gillan, MD

  • Rheumatology Physician
  • Oklahoma City, OK
National Provider Identifier
1114918869
Registry record updated Aug 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
21301 Issued in OK
Practice address
1211 N Shartel Ave
Suite# 700
Oklahoma City, OK 73103-2400
Phone
(405) 702-6700
Fax
(405) 702-6718
NPI assigned
Nov 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 21301 OK Primary

Addresses

Primary practice location

1211 N Shartel Ave
Suite# 700
Oklahoma City, OK 73103-2400

Mailing address

1211 N Shartel Ave
Suite# 700
Oklahoma City, OK 73103-2400
Phone (405) 702-6700

Other identifiers 1

IdentifierTypeStateIssuer
55688772MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071031000446 OK Practitioner - Internal MedicinePractitioner - Rheumatology 0446347975 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Rheumatology
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Transitional Care Organization LLCGroup PAC ID 2961894035, 11 clinicians
Christine E Codding MD PCGroup PAC ID 2961400015, 2 clinicians

Practice addresses (Care Compare)

Oklahoma City, OK 73118
Phone (405) 259-2333

1211 N Shartel Ave
Suite 700
Oklahoma City, OK 73103-2433
Phone (405) 410-8749

4220 N Classen Blvd
Suite D
Oklahoma City, OK 73118-2434

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
22.77 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
75.91

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Transitional Care Organization LLC CurrentSince Dec 1, 2022 Accepting new patients
Christine E Codding MD PC Rheumatology CurrentSince Oct 1, 2007 Accepting new patients
Emergency Physicians of Midwest City, LLC CurrentSince Dec 3, 2020 Accepting new patients
Spectrum Healthcare Solutions, PLLC CurrentSince Dec 15, 2022 Accepting new patients
Midwest Hospitalist Group PLLC CurrentSince Nov 27, 2020 Accepting new patients
Inpatient Consultants of Texas, PLLC Past Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

3300 NW Expressway St
Oklahoma City, OK 73112
Phone (405) 251-2815

1000 N Lee Ave
Oklahoma City, OK 73102
Phone (405) 272-6152

2825 Parklawn Dr
Oklahoma City, OK 73110
Phone (405) 245-1453

315 SW 80th St
Oklahoma City, OK 73139
Phone (214) 272-2774

4220 N Classen Blvd
Ste D
Oklahoma City, OK 73118
Phone (405) 259-2333

1211 N Shartel Ave
Ste 700
Oklahoma City, OK 73103
Phone (405) 410-8749

4220 N Classen Blvd
Ste A
Oklahoma City, OK 73118
Phone (405) 768-5749

900 17th St
Woodward, OK 73801
Phone (405) 610-4411

Interoperability endpoints

  • Direct secure messaging: mgillan399968@direct-ehr-ssmhc.com

Organizations & group practices 7

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217808000000",
    "number": "1114918869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 N SHARTEL AVE",
            "address_2": "SUITE# 700",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731032400",
            "telephone_number": "405-702-6700",
            "fax_number": "405-702-6718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 N SHARTEL AVE",
            "address_2": "SUITE# 700",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731032400",
            "telephone_number": "405-702-6700",
            "fax_number": "405-702-6718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLAN",
        "first_name": "MUHAMMAD",
        "middle_name": "MONEM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-02",
        "last_updated": "2008-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "OK",
            "license": "21301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "55688772",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.