Maryam Shambayati, D.O.

Primary specialty

Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X

License

5813 Issued in OK

Practice address

3330 NW 56TH St Ste 500
Oklahoma City, OK 73112-4470

Phone

(405) 713-7060

Fax

(405) 713-7064

NPI assigned

Aug 7, 2012

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Integris Ambulatory Care Corporation

  dba INTEGRIS Medical Group

  • Family Medicine Physician
  • Oklahoma City, OK
  • NPI 1750333936

  Pediatrics

  Medicare reassignment NPD
• Oklahoma Pediatric Digestive Institute, PLLC

  • Pediatric Gastroenterology Physician
  • Oklahoma City, OK
  • NPI 1891470035
  NPD (past) Authorized official
• Integris Baptist Medical Center Inc

  dba Integris Health Baptist Medical Center

  • General Acute Care Hospital
  • Oklahoma City, OK
  • NPI 1831103654
  NPD (past)
• Jackson County Memorial Hospital Authority

  • General Acute Care Hospital
  • Altus, OK
  • NPI 1093763781
  NPD (past)
• Summit Medical Center

  • General Acute Care Hospital
  • Edmond, OK
  • NPI 1356574560
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1344297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1235486416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 N INDEPENDENCE AVE STE 280",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731125555",
            "telephone_number": "405-713-7060",
            "fax_number": "405-713-7064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 NW 56TH ST STE 500",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124470",
            "telephone_number": "405-713-7060",
            "fax_number": "405-713-7064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAMBAYATI",
        "first_name": "MARYAM",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-07",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "Q1300",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "OK",
            "license": "5813",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS DPS",
            "identifier": "30209771",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hakeem J Shakir
• Mariam Fathima Shakir, MD
• Mubeen Ahmed Shakir
• Nabeela Shakir, M.D.
• Amanda Shaleen
• Jessica D'Ann Shamblin
• Laura B Shamblin, MD
• Ibrahim Musa Shamma, PT
• Saad Shams, MD
• William Randal Shanahan

• Pediatric Gastroenterology Physician in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Pediatric Gastroenterology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.