NPIMap

Individual provider Active NPI

Benjamin Galenzoski, PA

  • Physician Assistant
  • Edmond, OK
National Provider Identifier
1194580001
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5286 Issued in OK
Practice address
16400 N May Ave
Edmond, OK 73013-8971
Phone
(405) 471-6800
Fax
(405) 471-6811
NPI assigned
Feb 20, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5286 OK Primary

Addresses

Primary practice location

16400 N May Ave
Edmond, OK 73013-8971

Mailing address

3001 Quail Springs Pkwy FL 5
Oklahoma City, OK 73134-2640
Phone (405) 252-8500

Other practice location 1

1820 S Division St
Guthrie, OK 73044
Phone (405) 427-4948

Other practice location 2

1726 S Division St
Guthrie, OK 73044-6019
Phone (405) 252-8500

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
I20240917002011 OK Practitioner - Physician Assistant 9739620865 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integris Health Allset Urgent Care LLCGroup PAC ID 3173972627, 54 clinicians
Integris Ambulatory Care CorporationGroup PAC ID 2365408465, 687 clinicians

Practice addresses (Care Compare)

1116 N Robinson Ave
Oklahoma City, OK 73103-4918
Phone (405) 427-4951

16400 N May Ave
Edmond, OK 73013-8971
Phone (405) 471-6800

3075 Classen Blvd
Norman, OK 73071-4005
Phone (405) 552-0155

3400 NW Expressway
Suite 500
Oklahoma City, OK 73112-4492
Phone (405) 945-4589

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5286OKMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Integris Ambulatory Care C Orporation Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: bgalenzoski486493@direct.integrisok.com

Organizations & group practices 3

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": "1708387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1194580001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 QUAIL SPRINGS PKWY FL 5",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731342640",
            "telephone_number": "405-252-8500",
            "fax_number": "405-553-2697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16400 N MAY AVE",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730138971",
            "telephone_number": "405-471-6800",
            "fax_number": "405-471-6811"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1820 S Division St",
            "address_purpose": "LOCATION",
            "city": "Guthrie",
            "state": "OK",
            "postal_code": "73044",
            "country_code": "US",
            "telephone_number": "405-427-4948",
            "fax_number": "405-951-8849",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1726 S Division St",
            "address_purpose": "LOCATION",
            "city": "Guthrie",
            "state": "OK",
            "postal_code": "730446019",
            "country_code": "US",
            "telephone_number": "405-252-8500",
            "fax_number": "405-553-2697",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALENZOSKI",
        "first_name": "BENJAMIN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-20",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "5286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

Verify at the official NPI Registry.