Individual provider Active NPI

Kalli Shepherd, D.O.

  • Family Medicine Physician
  • Durant, OK
National Provider Identifier
1215380845
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
6046 Issued in OK
Practice address
1600 W University Blvd
Durant, OK 74701-3094
Phone
(580) 924-5500
NPI assigned
Jul 19, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 6046 OK Primary

Addresses

Primary practice location

1600 W University Blvd
Durant, OK 74701-3094

Mailing address

1600 W University Blvd
Durant, OK 74701-3045
Phone (580) 924-5500

Other practice location 1

305 S 5th St
Enid, OK 73701-5832
Phone (580) 213-2066

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
I20161202000275 OK Practitioner - Family Practice 4486934775 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Oklahoma State University College of Osteopathic Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Apogee Medical Group Oklahoma IncGroup PAC ID 0840359394, 7 clinicians

Practice addresses (Care Compare)

305 S 5TH St
Enid, OK 73701-5832
Phone (580) 233-6100

Hospital & facility affiliations

  • St Mary'S Regional Medical Center Hospital, Enid, OK, CCN 370026

Merit-based Incentive Payment System (MIPS)

Final score
94.44 of 100Reported as group
Quality
85.31
Improvement activities
40
Cost
80.05

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6046OKMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Apogee Medical Group Oklahoma Inc CurrentSince May 20, 2018 Accepting new patients
Hospital Care Consultants Region II Inc CurrentSince Jan 7, 2017 Accepting new patients
Oklahoma Emergency Physician Partners PLLC Current Accepting new patients
Uhs of Oklahoma, LLC Past Accepting new patients

Locations

1800 W University Blvd
Durant, OK 74701
Phone (580) 924-3080

1801 W 3rd St
Elk City, OK 73644
Phone 5802255403677

305 S 5th St
Enid, OK 73701
Phone (580) 233-6100

501 N 14th St
Perry, OK 73077
Phone (580) 336-3541

900 17th St
Woodward, OK 73801
Phone (405) 610-4411

Organizations & group practices 4

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 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": "1468886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788480000000",
    "number": "1215380845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 W UNIVERSITY BLVD",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747013045",
            "telephone_number": "580-924-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 W UNIVERSITY BLVD",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747013094",
            "telephone_number": "580-924-5500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "305 S 5th St",
            "address_purpose": "LOCATION",
            "city": "Enid",
            "state": "OK",
            "postal_code": "737015832",
            "country_code": "US",
            "telephone_number": "580-213-2066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHEPHERD",
        "first_name": "KALLI",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-19",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "6046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durant, OK

Sources for this page

Verify at the official NPI Registry.