Individual provider Active NPI

Samiya Khan, M.D.

  • Family Medicine Physician
  • Lawton, OK
National Provider Identifier
1265896161
Registry record updated Jun 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
32265 Issued in OK
Practice address
1202 NW Arlington Ave
Lawton, OK 73507-6537
Phone
(580) 248-2288
Fax
(580) 248-5348
NPI assigned
Apr 7, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 32265 OK Primary

Addresses

Primary practice location

1202 NW Arlington Ave
Lawton, OK 73507-6537

Mailing address

2401 Golden LN
Edmond, OK 73012-4286

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
I20190903000925 OK Practitioner - Family Practice 5395026256 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integris Ambulatory Care CorporationGroup PAC ID 2365408465, 687 clinicians

Practice addresses (Care Compare)

3300 NW Expressway
Oklahoma City, OK 73112-4418
Phone (405) 949-3141

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
66.46 of 100Reported as group
Improvement activities
20
Cost
68.42

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Healthcare Services LLC CurrentSince Oct 1, 2024 Accepting new patients
Metro Physicians LLC CurrentSince Sep 16, 2024 Accepting new patients
Integris Ambulatory Care Corporation Family Medicine CurrentSince Dec 3, 2024 Accepting new patients
Integris Baptist Medical Center Inc Past Accepting new patients

Locations

3300 NW Expressway St
Oklahoma City, OK 73112
Phone (405) 251-2815

1111 N Lee Ave
Ste 305
Oklahoma City, OK 73103
Phone (405) 272-4978

3400 NW Expressway
Ste 500
Oklahoma City, OK 73112
Phone (405) 945-4589

1000 N Lee Ave
Oklahoma City, OK 73102
Phone (405) 272-6152

Interoperability endpoints

  • Direct secure messaging: skhan221029@direct.integrisok.com

Organizations & group practices 5

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 4

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": "1459987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623196800000",
    "number": "1265896161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 GOLDEN LN",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730124286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 NW ARLINGTON AVE",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735076537",
            "telephone_number": "580-248-2288",
            "fax_number": "580-248-5348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "SAMIYA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-07",
        "last_updated": "2021-06-09",
        "certification_date": "2021-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "32265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawton, OK

Sources for this page

Verify at the official NPI Registry.