Active NPI
Andraya Gower, MD
- Dermatology Physician
- Oklahoma City, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 34799
- Practice address
- 13301 N Meridian Ave Ste 201
Oklahoma City, OK 73120-8381 - Phone
- (405) 803-8020
- Fax
- (405) 437-2332
- NPI assigned
- Apr 6, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 34799 | OK | Primary |
Addresses
Primary practice location
13301 N Meridian Ave Ste 201
Oklahoma City, OK 73120-8381
Mailing address
PO Box 54333
Oklahoma City, OK 73154-1333
Phone (405) 803-8020
Other practice location 1
4101 NW 122nd St
Oklahoma City, OK 73120-8800
Phone (405) 803-8020
Other practice location 2
3863 S Boulevard Ste 200
Edmond, OK 73013-5540
Phone (405) 216-5444
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200846730A | Medicaid | OK |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- University of Oklahoma College of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
13301 N Meridian Ave
201 Dermatology and Aesthetics of Oklahoma
Oklahoma City, OK 73120-8381
Phone (405) 803-8020
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.3 of 100
- Promoting interoperability
- 98
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 77 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1281 |
| Skin biopsy | 774 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34799 | OK | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| R&R Dermatology Services PLLC | Dermatology | Current | Accepting new patients |
| Summit Medical Center | Past | Accepting new patients | |
| Glenn Koester, M.D., P.C. | Past | Accepting new patients |
Locations
3863 S Boulevard
Ste 200
Edmond, OK 73013
Phone (405) 216-5444
13301 N Meridian Ave
Ste 201
Oklahoma City, OK 73120
Phone (405) 757-3744
4101 NW 122nd St
Ste C
Oklahoma City, OK 73120
Phone (405) 562-9260
4101 NW 122nd St
Oklahoma City, OK 73120
Phone (405) 562-9260
13301 N Meridian Ave
Oklahoma City, OK 73120
Phone (405) 606-8950
Interoperability endpoints
- agower@oklahomaderm.emadirect.md
Organizations & group practices 3
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.
-
- Dermatology Physician
- Oklahoma City, OK
- NPI 1831714658
-
- Procedural Dermatology Physician
- Edmond, OK
- NPI 1902930209
-
- General Acute Care Hospital
- Edmond, OK
- NPI 1356574560
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764806400000",
"number": "1235636200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 54333",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731541333",
"telephone_number": "405-803-8020",
"fax_number": "405-437-2332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13301 N MERIDIAN AVE STE 201",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731208381",
"telephone_number": "405-803-8020",
"fax_number": "405-437-2332"
}
],
"practiceLocations": [
{
"address_1": "4101 NW 122nd St",
"address_purpose": "LOCATION",
"city": "Oklahoma City",
"state": "OK",
"postal_code": "731208800",
"country_code": "US",
"telephone_number": "405-803-8020",
"fax_number": "405-437-2332",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3863 S Boulevard Ste 200",
"address_purpose": "LOCATION",
"city": "Edmond",
"state": "OK",
"postal_code": "730135540",
"country_code": "US",
"telephone_number": "405-216-5444",
"fax_number": "405-437-2332",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOWER",
"first_name": "ANDRAYA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-06",
"last_updated": "2025-12-04",
"certification_date": "2025-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "OK",
"license": "34799",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200846730A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.