Organization Active NPI

Optimum Complete Care, PLLC

  • Emergency Medicine Physician
  • Oklahoma City, OK
National Provider Identifier
1295359248
Registry record updated Jul 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
OPTIMUM COMPLETE CARE, PLLC
Practice address
5200 E. Interstate 240 Service Rd.
Oklahoma City, OK 73135
Phone
(405) 416-9701
NPI assigned
Jun 5, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2021

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

Authorized official

Name
Muhammad Sanaullah, MD
Title
Owner
Phone
(405) 888-9949

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X Primary

Addresses

Primary practice location

5200 E. Interstate 240 Service Rd.
Oklahoma City, OK 73135

Mailing address

7725 W Reno Ave Ste 150
Oklahoma City, OK 73127-9712

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1591315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627430400000",
    "number": "1295359248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7725 W RENO AVE STE 150",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731279712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 E. INTERSTATE 240 SERVICE RD.",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73135",
            "telephone_number": "405-416-9701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUM COMPLETE CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-05",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A",
        "authorized_official_last_name": "SANAULLAH",
        "authorized_official_first_name": "MUHAMMAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-888-9949",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "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 Jul 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.