Individual provider Active NPI

Asma Mudassir, M.D

  • Psychiatry Physician
  • Norman, OK
National Provider Identifier
1164759791
Registry record updated Nov 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
26988 Issued in OK
Practice address
900 E. Main St
Griffin Memorial Hospital
Norman, OK 73071-4479
Phone
(405) 321-4880
Fax
(405) 573-6684
NPI assigned
Nov 3, 2009
Last updated
Nov 3, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 26988 OK Primary

Addresses

Primary practice location

900 E. Main St
Griffin Memorial Hospital
Norman, OK 73071-4479

Mailing address

411 Foxborough CT
Norman, OK 73072-4479
Phone (405) 321-6499

Other names 1

  • Asma Jahan Former name

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
I20151014001809 OK Practitioner - PsychiatryPractitioner - Geriatric Psychiatry 6002125044 Reassigns benefits to 1 organization
Practice locations: Norman, OK

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Geriatric Psychiatry
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3524 National Dr
Norman, OK 73069-8222
Phone (405) 360-8930

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Asma Mudassir MD PC Psychiatry CurrentSince Jul 21, 2015 Accepting new patients

Locations

3524 National Dr
Norman, OK 73069
Phone (405) 360-8930

Organizations & group practices 1

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": "1257206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257206400000",
    "number": "1164759791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 FOXBOROUGH CT",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730724479",
            "telephone_number": "405-321-6499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 E. MAIN ST",
            "address_2": "GRIFFIN MEMORIAL HOSPITAL",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730714479",
            "telephone_number": "405-321-4880",
            "fax_number": "405-573-6684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUDASSIR",
        "first_name": "ASMA",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-03",
        "last_updated": "2009-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OK",
            "license": "26988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASMA",
            "last_name": "JAHAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Norman, OK

Sources for this page

Verify at the official NPI Registry.