NPIMap

Individual provider Active NPI

Senthil Nachimuthu, MD

  • Clinical Cardiac Electrophysiology Physician
  • Stillwater, OK
National Provider Identifier
1235246018
Registry record updated Jun 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
27598 Issued in OK
Practice address
1323 W 6TH Ave Ste 201
Stillwater, OK 74074-4306
Phone
(405) 533-3010
NPI assigned
Aug 25, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 20

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 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Cardiac ElectrophysiologyAlso: Cardiovascular Disease (Cardiology), Interventional Cardiology
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Stillwater Medical Center Authority 155 clinicians

Practice addresses (Care Compare)

1323 NW 6TH Ave
Stillwater, OK 74074-4306
Phone (405) 372-1480

1323 W 6TH Ave
Kansas City, MO 74074-4306

1412 Fir St
Perry, OK 73077-5036
Phone (580) 336-9411

417 Fairview Ave
Ponca City, OK 74601-1923
Phone (580) 762-3770

501 N 14TH St
Perry Specialty Clinic
Perry, OK 73077-5021
Phone (580) 336-5577

505 N 14TH St
Perry Family Physicians
Perry, OK 73077-5021
Phone (580) 336-3537

Hospital & facility affiliations

  • Stillwater Medical Center Hospital, Stillwater, OK, CCN 370049
  • Stillwater Medical - Perry Hospital, Perry, OK, CCN 370779
  • Integris Health Ponca City Hospital, Ponca City, OK, CCN 370006
  • Stillwater Medical-Blackwell Hospital, Blackwell, OK, CCN 370780
  • O U Medical Center Hospital, Oklahoma City, OK, CCN 370093

Merit-based Incentive Payment System (MIPS)

Final score
90.91 of 100Reported as apm
Quality
76.55
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting41
Pacemaker insertion or repair22
Leg revascularization (restoring blood flow)1-10

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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20120702000320 OK Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Interventional Cardiology 4082644992 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD14431RLAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stillwater Medical Center Authority CurrentSince Oct 1, 2020 Accepting new patients
Stillwater Medical Center Authority CurrentSince Oct 1, 2020 Accepting new patients
Epic Heart Health Cardiovascular Disease Current Accepting new patients
Stillwater Medical Center Authority Internal Medicine Current Accepting new patients
Lakeside Physician Associates, LLC Past Accepting new patients
Hospitalist Medicine Physicians of Rapides Parish, LLC Internal Medicine Past Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Administrators of the Tulane Educational Fund Past Accepting new patients
Administrators of the Tulane Education Fund PastSince Jul 31, 2023 Accepting new patients
Stillwater Medical Center Physicians Internal Medicine PastSince Jun 5, 2022 Accepting new patients
Blackwell Hospital Trust Authority Internal Medicine PastSince Jun 5, 2022 Accepting new patients

Locations

417 Fairview Ave
Ponca City, OK 74601
Phone (580) 762-3770

1323 W 6th Ave
Stillwater, OK 74074
Phone (405) 372-1480

1323 W 6th Ave
Ste 201
Stillwater, OK 74074
Phone (405) 533-3010

Interoperability endpoints

  • Direct secure messaging: senthil.nachimuthu.p1@direct.smc.nextgenshare.com
  • Direct secure messaging: senthil.nachimuthu.1@17785.direct.athenahealth.com

Specialties & licenses 4

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD14431R LA
Cardiovascular Disease Physician 207RC0000X 27598 OK
Interventional Cardiology Physician 207RI0011X 27598 OK
Clinical Cardiac Electrophysiology Physician 207RC0001X 27598 OK Primary

Addresses

NPPES NPI Registry

Primary practice location

1323 W 6TH Ave Ste 201
Stillwater, OK 74074-4306

Mailing address

PO Box 802738
Kansas City, MO 64180-2738
Phone (405) 533-3010

Other practice location 1

3106 NW Arlington Ave
Lawton, OK 73505-6123
Phone (580) 250-4278 ext. 107

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 3, 2022.

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654214400000",
    "number": "1235246018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 802738",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641802738",
            "telephone_number": "405-533-3010",
            "fax_number": "405-533-5314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1323 W 6TH AVE STE 201",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740744306",
            "telephone_number": "405-533-3010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3106 NW Arlington Ave",
            "address_purpose": "LOCATION",
            "city": "Lawton",
            "state": "OK",
            "postal_code": "735056123",
            "country_code": "US",
            "telephone_number": "580-250-4278 x107",
            "fax_number": "580-581-1548",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NACHIMUTHU",
        "first_name": "SENTHIL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2022-06-03",
        "certification_date": "2022-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "MD14431R",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OK",
            "license": "27598",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "OK",
            "license": "27598",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "OK",
            "license": "27598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stillwater, OK

Sources for this page

Verify at the official NPI Registry.