Mayank Nandkishor Dave, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

25648 Issued in OK

Practice address

5606 SW Lee Blvd
Suite 202
Lawton, OK 73505-9688

Phone

(580) 536-5300

Fax

(580) 536-5304

NPI assigned

Jun 19, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mayankkumar Nandkishor Dave Former name

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

Specialty

Family Practice

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Clinton Hospital AuthorityGroup PAC ID 5092163873, 14 clinicians

GDN LLCGroup PAC ID 7810236007, 11 clinicians

Comanche County Healthcare CorporationGroup PAC ID 0749192433, 125 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Memorial Health Hospital, Lawton, OK, CCN 370056
• O U Medical Center Hospital, Oklahoma City, OK, CCN 370093

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mdave522242@direct-ehr-ssmhc.com

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.

• Clinton Hospital Authority

  • Family Medicine Physician
  • Clinton, OK
  • NPI 1528812237
  Medicare reassignment Care Compare group NPD
• Comanche County Healthcare Corporation

  • Public Health or Welfare Agency
  • Lawton, OK
  • NPI 1053352690
  Medicare reassignment Care Compare group NPD
• GDN LLC

  • Urgent Care Clinic/Center
  • Duncan, OK
  • NPI 1720554231
  Medicare reassignment Care Compare group NPD
• Carnegie Tri-County Municipal Hospital Management, Inc

  • General Practice Physician
  • Carnegie, OK
  • NPI 1275657017
  Medicare reassignment NPD
• Metro Healthcare Services LLC

  • Specialist
  • Oklahoma City, OK
  • NPI 1194558304
  Medicare reassignment NPD
• Metro Physicians LLC

  • Hospitalist Physician
  • Oklahoma City, OK
  • NPI 1588374797
  Medicare reassignment NPD
• Carnegie Tri-County Municipal Hospital Management, Inc.

  • Medicare Defined Swing Bed Hospital Unit
  • Carnegie, OK
  • NPI 1861660920
  NPD
• Clinton Hospital Authority

  • General Acute Care Hospital
  • Clinton, OK
  • NPI 1942921929
  NPD
• Comanche County Healthcare

  • Psychiatry Physician
  • Lawton, OK
  • NPI 1548280746
  NPD
• Comanche County Healthcare Corporation

  • Allergy & Immunology Physician
  • Lawton, OK
  • NPI 1013640846
  NPD
• Comanche County Healthcare

  • Surgery Physician
  • Lawton, OK
  • NPI 1285651232
  NPD (past)
• Comanche County Hospital Authority

  • Federally Qualified Health Center (FQHC)
  • Lawton, OK
  • NPI 1588832869
  NPD (past)

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

• Comanche County Hospital Authority

  • Land Ambulance
  • Walters, OK
  • NPI 1285181610

  Hospital

  Care Compare affiliation
• Comanche County Hospital Authority

  • General Acute Care Hospital
  • Lawton, OK
  • NPI 1720022379
  Care Compare affiliation
• Comanche County Hospital Authority

  • Land Ambulance
  • Lawton, OK
  • NPI 1770525883

  Hospital

  Care Compare affiliation
• Ou Medicine Inc.

  • General Acute Care Hospital
  • Oklahoma City, OK
  • NPI 1649794157
  Care Compare affiliation

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299024000000",
    "number": "1275738148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5606 SW LEE BLVD",
            "address_2": "SUITE 202",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735059688",
            "telephone_number": "580-536-5300",
            "fax_number": "580-536-5304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5606 SW LEE BLVD",
            "address_2": "SUITE 202",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735059688",
            "telephone_number": "580-536-5300",
            "fax_number": "580-536-5304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVE",
        "first_name": "MAYANK",
        "middle_name": "NANDKISHOR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-19",
        "last_updated": "2011-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "25648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAYANKKUMAR",
            "last_name": "DAVE",
            "middle_name": "NANDKISHOR",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nga Dao
• Beth Darbe, M.S., CCC-SLP
• Chelsey Darville
• Daryl E. Birdwell, M.D., Inc.
• Deena Dave, MD
• Shawn Dave, MD
• Tremell Davenport
• David J Harrell DDS Inc
• David J. Drummond DDS, Inc.
• David M Lindley, DDS, Inc

• Family Medicine Physician in Lawton, OK
• Providers in Lawton, OK by specialty
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2011; 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.

Verify at the official NPI Registry.