Organization Active NPI

Mara Vascular & Interventional Radiology of Okc LLC

  • Vascular & Interventional Radiology Physician
  • Oklahoma City, OK
National Provider Identifier
1295316107
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
Legal business name
MARA VASCULAR & INTERVENTIONAL RADIOLOGY OF OKC LLC
Practice address
10300 Greenbriar Pkwy Ste a
Oklahoma City, OK 73159-7671
Phone
(405) 669-3569
NPI assigned
Apr 21, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

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

Authorized official

Name
Senthil C Palaniappun, MDNPI 1205082401
Title
Owner
Phone
(408) 829-9013

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0204X Primary

Addresses

Primary practice location

10300 Greenbriar Pkwy Ste a
Oklahoma City, OK 73159-7671

Mailing address

10300 Greenbriar Pkwy Ste B
Oklahoma City, OK 73159-7671
Phone (405) 669-3569

Other practice location 1

10300 Greenbriar Pkwy Ste B
Oklahoma City, OK 73159-7671
Phone (405) 669-3569

Other practice location 2

13700 S Western Ave Ste 100
Oklahoma City, OK 73170-7006
Phone (405) 669-3569

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210621000233 OK Part B Supplier - Clinic/Group Practice 1557761053 Receives reassigned benefits from 6 practitioners
Practice locations: Oklahoma City, OK

National Provider Directory

National Provider Directory

Locations

10300 Greenbriar Pkwy
Ste B
Oklahoma City, OK 73159
Phone (405) 669-3569

1145 W I 240 Service Rd
Ste F100
Oklahoma City, OK 73139
Phone (405) 898-9048

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1618963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756252800000",
    "number": "1295316107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10300 GREENBRIAR PKWY STE B",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731597671",
            "telephone_number": "405-669-3569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10300 GREENBRIAR PKWY STE A",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731597671",
            "telephone_number": "405-669-3569"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10300 Greenbriar Pkwy Ste B",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731597671",
            "country_code": "US",
            "telephone_number": "405-669-3569",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13700 S Western Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731707006",
            "country_code": "US",
            "telephone_number": "405-669-3569",
            "fax_number": "405-669-3653",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MARA VASCULAR & INTERVENTIONAL RADIOLOGY OF OKC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-21",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A",
        "authorized_official_last_name": "PALANIAPPUN",
        "authorized_official_first_name": "SENTHIL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-829-9013",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.