Individual provider Active NPI

Andraya Gower, MD

  • Dermatology Physician
  • Oklahoma City, OK
National Provider Identifier
1235636200
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
34799 Issued in OK
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

Updated by the provider on Dec 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
200846730AMedicaidOK

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
I20220720002612 OK Practitioner - Dermatology 1153658497 Reassigns benefits to 1 organization

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
Randr Dermatology Services PLLCGroup PAC ID 1658798103, 8 clinicians

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 100Reported as group
Promoting interoperability
98
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision77
Removal of tissue1-10
Removal of skin lesions1281
Skin biopsy774

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34799OKMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
R&R Dermatology Services PLLC Dermatology CurrentSince Aug 22, 2022 Accepting new patients
Summit Medical Center Past Accepting new patients
Glenn Koester, M.D., P.C. PastSince Apr 26, 2004 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.