Individual provider Active NPI

Nelson Ivan Agudelo-Higuita, MD

  • Infectious Disease Physician
  • Oklahoma City, OK
National Provider Identifier
1194920074
Registry record updated May 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
25170 Issued in OK
Practice address
920 Stanton L Young Blvd # Wp1265
Oklahoma City, OK 73104-5036
Phone
(405) 271-6434
Fax
(405) 271-6264
NPI assigned
Jun 19, 2007
Last updated
May 15, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2017

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 25170 OK
Infectious Disease Physician 207RI0200X 25170 OK Primary

Addresses

Primary practice location

920 Stanton L Young Blvd # Wp1265
Oklahoma City, OK 73104-5036

Mailing address

1122 NE 13TH Street
Ori 274
Oklahoma City, OK 73119-1039
Phone (405) 271-1515

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
I20120719000533 OK Practitioner - Infectious DiseasePractitioner - Internal Medicine 4587820535 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ou Health Partners IncGroup PAC ID 5991105876, 1,167 clinicians

Practice addresses (Care Compare)

900 NE 10TH St
Ouhp Family Medicine
Oklahoma City, OK 73104-5420
Phone (572) 244-0065

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
77.26 of 100Reported as group
Quality
53.73
Promoting interoperability
100
Improvement activities
40
Cost
70.48

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25170OKMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Board of Regents of the University of Oklahoma - Ou Physicians CurrentSince Jul 1, 2012 Accepting new patients
Ou Health Partners, Inc CurrentSince Jul 1, 2021 Accepting new patients
Variety Care, Inc. CurrentSince Aug 30, 2021 Accepting new patients
Ou Health Partners, Inc CurrentSince Jul 1, 2021 Accepting new patients
Variety Care, Inc. Current Accepting new patients
Board of Regents of the University of Oklahoma - Ou Physicians CurrentSince Jul 1, 2012 Accepting new patients
Variety Care, Inc. CurrentSince Aug 30, 2021 Accepting new patients
Ou Medicine Inc. Past Accepting new patients

Locations

1122 NE 13th St
#274
Oklahoma City, OK 73117

2400 NW 36th St
Ste 100
Oklahoma City, OK 73112
Phone (405) 326-6688

3000 N Grand Blvd
Oklahoma City, OK 73107
Phone 405632668810209

4000 W Reno Ave
Oklahoma City, OK 73107

4330 NW 10th St
Oklahoma City, OK 73107
Phone (405) 271-5858

711 Stanton L Young Blvd
Ste 430
Oklahoma City, OK 73104
Phone (405) 271-5068

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

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

920 Stanton L Young Blvd
#1265
Oklahoma City, OK 73104
Phone (405) 271-6434

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BDIFBD/Endpoint/BDIFBD
  • Direct secure messaging: nagudelohiguita29646@ouhealth.direct-ci.net
  • Direct secure messaging: nagudelohiguita376033@direct.ochin.org

Organizations & group practices 8

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.

Hospital & facility affiliations 1

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": "1182211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494806400000",
    "number": "1194920074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 NE 13TH STREET",
            "address_2": "ORI 274",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731191039",
            "telephone_number": "405-271-1515",
            "fax_number": "405-271-6264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 STANTON L YOUNG BLVD # WP1265",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731045036",
            "telephone_number": "405-271-6434",
            "fax_number": "405-271-6264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGUDELO-HIGUITA",
        "first_name": "NELSON",
        "middle_name": "IVAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-19",
        "last_updated": "2017-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "25170",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "OK",
            "license": "25170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.