NPIMap

Individual provider Active NPI

Gabriel Pardo, M.D.

  • Neurology Physician
  • Oklahoma City, OK
National Provider Identifier
1215969605
Registry record updated May 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
20570 Issued in OK
Practice address
820 NE 15TH St
Oklahoma City, OK 73104-4602
Phone
(405) 271-6242
Fax
(405) 271-2887
NPI assigned
Jul 7, 2006
Last updated
May 19, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 20570 OK Primary

Addresses

Primary practice location

820 NE 15TH St
Oklahoma City, OK 73104-4602

Mailing address

820 NE 15TH St
Oklahoma City, OK 73104-4602
Phone (405) 271-6242

Other identifiers 1

IdentifierTypeStateIssuer
100827890AMedicaidOK

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address gpardo37185@direct-ehr-ssmhc.com Direct
FHIR URL https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ Other

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
I20040624000320 OK Practitioner - NeurologyPractitioner - Ophthalmology 9335124106 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Ophthalmology
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

825 NE 13TH St
Oklahoma City, OK 73104-5005
Phone (405) 271-7410

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.73 of 100Reported as group
Quality
71.5
Promoting interoperability
100
Improvement activities
40
Cost
56.97

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Oklahoma Medical Research Foundation CurrentSince Jul 5, 2004 Accepting new patients
Oklahoma Medical Research Foundation CurrentSince Jul 5, 2004 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Medical Neurologists Inc Neurology Past Accepting new patients
Summit Medical Center Past Accepting new patients
SSM Health Care of Oklahoma, Inc. Past Accepting new patients
Ms Center of Oklahoma LLC Neurology Past Accepting new patients
Saints Medical Group, LLC Past Accepting new patients

Locations

825 NE 13th St
Oklahoma City, OK 73104
Phone (405) 271-1500

Interoperability endpoints

  • Direct secure messaging: gpardo17379@directc.mercy.net

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 7

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652918400000",
    "number": "1215969605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 NE 15TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731044602",
            "telephone_number": "405-271-6242",
            "fax_number": "405-271-2887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 NE 15TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731044602",
            "telephone_number": "405-271-6242",
            "fax_number": "405-271-2887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARDO",
        "first_name": "GABRIEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2022-05-19",
        "certification_date": "2020-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OK",
            "license": "20570",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100827890A",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gpardo37185@direct-ehr-ssmhc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "gpardo37185@direct-ehr-ssmhc.com",
            "address_1": "820 NE 15th St",
            "city": "Oklahoma City",
            "state": "OK",
            "country_code": "US",
            "postal_code": "731044602",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "820 NE 15th St",
            "city": "Oklahoma City",
            "state": "OK",
            "country_code": "US",
            "postal_code": "731044602",
            "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.