Individual provider Active NPI

Andrew Joseph Gruel, M.D.

  • Pediatric Anesthesiology Physician
  • Oklahoma City, OK
National Provider Identifier
1124407721
Registry record updated Jul 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Anesthesiology PhysicianTaxonomy code 207LP3000X
License
34783 Issued in OK
Practice address
920 Stanton L Young Blvd # 1140
Oklahoma City, OK 73104
Phone
(405) 271-4351
NPI assigned
May 28, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X TL0005679 CO
Pediatric Anesthesiology Physician 207LP3000X 34783 OK Primary

Addresses

Primary practice location

920 Stanton L Young Blvd # 1140
Oklahoma City, OK 73104

Mailing address

920 Stanton L Young Blvd # 1140
Oklahoma City, OK 73104-5036
Phone (405) 271-4351

Other practice location 1

1960 N Ogden St Ste 400
Denver, CO 80218-3670
Phone (303) 318-1571

Other practice location 2

1960 N Ogden St Ste 400
Denver, CO 80218-3670
Phone (303) 318-1571

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
I20200810002626 OK Practitioner - Anesthesiology 2769798743 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Affiliated Anesthesiologists, LLCGroup PAC ID 4688701204, 49 clinicians

Practice addresses (Care Compare)

4300 W Memorial Rd
Mercy Health Center Inc
Oklahoma City, OK 73120-8304
Phone (405) 755-1515

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34783OKMDPediatric Anesthesiology Physician
TL0005679COMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Affiliated Anesthesiologists, LLC CurrentSince Jun 2, 2024 Accepting new patients
Ou Health Partners, Inc CurrentSince Jul 1, 2021 Accepting new patients
Board of Regents of the University of Oklahoma - Ou Physicians CurrentSince Aug 5, 2020 Accepting new patients
Ou Health Partners, Inc CurrentSince Jul 1, 2021 Accepting new patients
Board of Regents of the University of Oklahoma - Ou Physicians CurrentSince Aug 5, 2020 Accepting new patients

Locations

920 Stanton L Young Blvd
Ste 1140
Oklahoma City, OK 73104

920 Stanton L Young Blvd
#1140
Oklahoma City, OK 73104
Phone (405) 271-4515

900 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-2230

Dept 960431
Oklahoma City, OK 73196

920 Stanton L Young Blvd
Oklahoma City, OK 73104
Phone (405) 271-5251

825 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-4864

4317 W Memorial Rd
Oklahoma City, OK 73134
Phone (405) 755-6240

4300 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 752-3962

13321 N Meridian Ave
Ste 402
Oklahoma City, OK 73120
Phone (405) 755-1080

Organizations & group practices 5

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 2

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": "1432771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563753600000",
    "number": "1124407721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 STANTON L YOUNG BLVD # 1140",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731045036",
            "telephone_number": "405-271-4351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 STANTON L YOUNG BLVD # 1140",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73104",
            "telephone_number": "405-271-4351"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1960 N Ogden St Ste 400",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802183670",
            "country_code": "US",
            "telephone_number": "303-318-1571",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1960 N Ogden St Ste 400",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802183670",
            "country_code": "US",
            "telephone_number": "303-318-1571",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRUEL",
        "first_name": "ANDREW",
        "middle_name": "JOSEPH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-28",
        "last_updated": "2019-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CO",
            "license": "TL0005679",
            "primary": false
        },
        {
            "code": "207LP3000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pediatric Anesthesiology",
            "state": "OK",
            "license": "34783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.