NPIMap

Individual provider Active NPI

Nabhan Alnabhan, M.D.

  • Interventional Cardiology Physician
  • Oklahoma City, OK
National Provider Identifier
1215062799
Registry record updated Jun 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
26812 Issued in OK
Practice address
5224 E I 240 Service Rd Ste 100
Oklahoma City, OK 73135-2607
Phone
(405) 608-3800
Fax
(405) 628-6565
NPI assigned
Feb 23, 2007
Last updated
Jun 6, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 26812 OK
Interventional Cardiology Physician 207RI0011X 26812 OK Primary

Addresses

Primary practice location

5224 E I 240 Service Rd Ste 100
Oklahoma City, OK 73135-2607

Mailing address

7800 NW 85TH Ter
Oklahoma City, OK 73132-3385

Other practice location 1

8121 National Ave Ste 300
Midwest City, OK 73110-7571
Phone (405) 610-3023

Other practice location 2

3306 N Kickapoo Ave Ste 150&154
Shawnee, OK 74804-1702
Phone (405) 628-6535

Other identifiers 2

IdentifierTypeStateIssuer
200250250AMedicaidOK
P01380882OtherOKRR MEDICARE

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address nalnabhan@direct.okheart.com Direct
Direct Messaging Address nalnabhan@direct.okheart.com Direct
Direct Messaging Address nalnabhan@direct.okheart.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, TX2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090722000138 OK Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 0446210439 Reassigns benefits to 2 organizations
I20150622000956 TX Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 0446210439 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology), Internal Medicine
Education
University of Mississippi School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Citizen Potawatomi NationGroup PAC ID 3375511488, 35 clinicians
Ohh Physicians LLCGroup PAC ID 1759392079, 132 clinicians

Practice addresses (Care Compare)

2307 Gordon Cooper Dr
Shawnee, OK 74801-9007
Phone (405) 273-5236

5224 E I 240 Service Rd
Suite 100
Oklahoma City, OK 73135-2607
Phone (405) 608-3800

781 Grand Casino Blvd
Shawnee, OK 74804-1005
Phone (405) 964-4025

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting19
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26812OKMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ohh Physicians, LLC Cardiovascular Disease CurrentSince Jul 1, 2010 Accepting new patients
Citizen Potawatomi Nation Current Accepting new patients
Citizen Potawatomi Nation CurrentSince Jun 4, 2015 Accepting new patients
Mercy Hospital Oklahoma City, Inc CurrentSince Dec 19, 2022 Accepting new patients
Citizen Potawatomi Nation CurrentSince Jun 4, 2015 Accepting new patients
Mercy Hospital Oklahoma City, Inc Current Accepting new patients
Oklahoma Heart Hospital, LLC Cardiovascular Disease Past Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Summit Medical Center Past Accepting new patients
Administrators of the Tulane Educational Fund Past Accepting new patients
Oklahoma Medical Specialists LLC Cardiovascular Disease Past Accepting new patients
Oklahoma Heart Hospital South LLC Past Accepting new patients

Locations

1146 N Hills Ctr
Ada, OK 74820
Phone (580) 332-1080

1009 W Ferguson Ave
Blackwell, OK 74631
Phone (580) 363-0052

520 Medical Dr
Guymon, OK 73942
Phone (580) 338-3113

429 W Elm St
Hobart, OK 73651
Phone (580) 726-1900

4050 W Memorial Rd
#3
Oklahoma City, OK 73120

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

5224 E I 240 Service Rd
Oklahoma City, OK 73135
Phone (405) 604-6101

5224 E I 240 Service Rd
Ste 100
Oklahoma City, OK 73135
Phone (405) 628-6000

7800 NW 85th Ter
Oklahoma City, OK 73132
Phone (405) 972-7239

8121 National Ave
Oklahoma City, OK 73110
Phone (405) 732-7905

8121 National Ave
Ste 300
Oklahoma City, OK 73110
Phone (405) 610-3023

2307 Gordon Cooper Dr
Shawnee, OK 74801
Phone (405) 273-5236

3306 N Kickapoo Ave
Ste 150154
Shawnee, OK 74804
Phone (405) 628-6535

3306 N Kickapoo Ave
Ste 154
Shawnee, OK 74804
Phone (405) 628-6535

781 Grand Casino Blvd
Shawnee, OK 74804
Phone (405) 964-4025

Interoperability endpoints

  • FHIR API: https://epicproxy.et1447.epichosted.com/APIProxyPRD/api/FHIR/R4
  • FHIR API: https://epicrp.okheart.com/Oauth2Proxy/MYCHART/api/FHIR/R4
  • FHIR API: https://fhir-myrecord.cerner.com/r4/I-7_h5bO8aC4DcrZl24eCXsg8gA1KGV3/
  • Direct secure messaging: nalnabhan22098@direct.okheart.com

Organizations & group practices 12

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 6

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": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1215062799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7800 NW 85TH TER",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731323385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5224 E I 240 SERVICE RD STE 100",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731352607",
            "telephone_number": "405-608-3800",
            "fax_number": "405-628-6565"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8121 National Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "Midwest City",
            "state": "OK",
            "postal_code": "731107571",
            "country_code": "US",
            "telephone_number": "405-610-3023",
            "fax_number": "405-733-0779",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3306 N Kickapoo Ave Ste 150&154",
            "address_purpose": "LOCATION",
            "city": "Shawnee",
            "state": "OK",
            "postal_code": "748041702",
            "country_code": "US",
            "telephone_number": "405-628-6535",
            "fax_number": "405-628-6532",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALNABHAN",
        "first_name": "NABHAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-23",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OK",
            "license": "26812",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "OK",
            "license": "26812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200250250A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01380882",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nalnabhan@direct.okheart.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5224 E I 240 Service Rd Ste 100",
            "city": "Oklahoma City",
            "state": "OK",
            "country_code": "US",
            "postal_code": "731352607",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nalnabhan@direct.okheart.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3306 N Kickapoo Ave Ste 150&154",
            "city": "Shawnee",
            "state": "OK",
            "country_code": "US",
            "postal_code": "748041702",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nalnabhan@direct.okheart.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3306 N Kickapoo Ave Ste 150&154",
            "city": "Shawnee",
            "state": "OK",
            "country_code": "US",
            "postal_code": "748041702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.