Individual provider Active NPI

Mohammad Omar Ramadan, MD

  • Urology Physician
  • Oklahoma City, OK
National Provider Identifier
1205157120
Registry record updated Aug 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
27834 Issued in OK
Practice address
SSM Health Medical Group Urology
608 NW 9TH St., Suite 5000
Oklahoma City, OK 73102
Phone
(405) 772-4533
Fax
(405) 772-4539
NPI assigned
Jun 15, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 27834 OK Primary

Addresses

Primary practice location

SSM Health Medical Group Urology
608 NW 9TH St., Suite 5000
Oklahoma City, OK 73102

Mailing address

608 NW 9TH St Ste 5000
Oklahoma City, OK 73102-1018
Phone (405) 772-4533

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
I20160203000045 OK Practitioner - Urology 0345544904 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Oklahoma College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Saints Medical Group, LLCGroup PAC ID 7012914898, 430 clinicians

Practice addresses (Care Compare)

1000 N Lee Ave
Oklahoma City, OK 73102-1036
Phone (405) 272-7000

2749 Progressive Dr
Edmond, OK 73034-7649
Phone (405) 772-4130

3315 Kethley Rd
Shawnee, OK 74804-9638
Phone (405) 273-5801

608 NW 9TH St
Oklahoma City, OK 73102-1049

608 NW 9TH St
Suite 6000
Oklahoma City, OK 73102-1041
Phone (405) 772-4533

Hospital & facility affiliations

  • SSM Health St Anthony Hospital - Oklahoma City Hospital, Oklahoma City, OK, CCN 370037
  • SSM Health St Anthony Hospital - Shawnee Hospital, Shawnee, OK, CCN 370149
  • SSM Health St Anthony Hospital - Midwest Hospital, Midwest City, OK, CCN 370094
  • Purcell Municipal Hospital Hospital, Purcell, OK, CCN 370158
  • Jackson County Memorial Hospital Authority Hospital, Altus, OK, CCN 370022

Merit-based Incentive Payment System (MIPS)

Final score
85.96 of 100Reported as group
Quality
80.43
Promoting interoperability
100
Improvement activities
40
Cost
72.76

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection32

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Board of Regents of the University of Oklahoma - Ou Physicians CurrentSince Dec 22, 2015 Accepting new patients
Saints Medical Group, LLC CurrentSince Mar 1, 2020 Accepting new patients
Board of Regents of the University of Oklahoma - Ou Physicians CurrentSince Dec 22, 2015 Accepting new patients
Saints Medical Group, LLC CurrentSince Mar 1, 2020 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
SSM Health Care of Oklahoma, Inc. Past Accepting new patients

Locations

920 Stanton L Young Blvd
#3150
Oklahoma City, OK 73104
Phone (405) 271-6900

608 NW 9th St
Ste 5000
Oklahoma City, OK 73102
Phone (405) 272-7026

608 NW 9th St
Ste 2200
Oklahoma City, OK 73102
Phone (405) 231-3737

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

Interoperability endpoints

  • Direct secure messaging: mramadan162784@direct-ehr-ssmhc.com

Organizations & group practices 6

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 8

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": "1276560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596326400000",
    "number": "1205157120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 NW 9TH ST STE 5000",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731021018",
            "telephone_number": "405-772-4533",
            "fax_number": "405-772-4539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SSM HEALTH MEDICAL GROUP UROLOGY",
            "address_2": "608 NW 9TH ST., SUITE 5000",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73102",
            "telephone_number": "405-772-4533",
            "fax_number": "405-772-4539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMADAN",
        "first_name": "MOHAMMAD",
        "middle_name": "OMAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-15",
        "last_updated": "2020-08-02",
        "certification_date": "2020-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "OK",
            "license": "27834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.