Active NPI
Urology Specialists of Central Oklahoma, LLC
- Urology Physician
- Oklahoma City, OK
National Provider Identifier
1356612063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- Legal business name
- UROLOGY SPECIALISTS OF CENTRAL OKLAHOMA, LLC
- Practice address
- 5401 N. Portland Ave. Suite 440
Oklahoma City, OK 73112 - Phone
- (405) 943-1137
- Fax
- (405) 947-0731
- NPI assigned
- Jan 26, 2012
- Last updated
- Apr 22, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- En Shea Samara, MD
- Title
- Managing Partner
- Phone
- (405) 943-1137
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | OK | Primary |
Addresses
Primary practice location
5401 N. Portland Ave. Suite 440
Oklahoma City, OK 73112
Mailing address
5401 N. Portland Ave. Suite 440
Oklahoma City, OK 73112
Phone (405) 943-1137
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200438780A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Urology SPCS of Cntrl Ok
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Non-Pharmacy Dispensing Site
- Oklahoma City, OK
- NPI 1962323055
Locations
3366 NW Expressway
Ste 500
Oklahoma City, OK 73112
Phone (405) 943-1137
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Urology Physician
- Oklahoma City, OK
- NPI 1790163467
-
- Urology Physician
- Oklahoma City, OK
- NPI 1619177581
-
- Urology Physician
- Oklahoma City, OK
- NPI 1811988835
-
- Urology Physician
- Oklahoma City, OK
- NPI 1457633588
-
- Urology Physician
- Oklahoma City, OK
- NPI 1255483319
-
- Urology Physician
- Oklahoma City, OK
- NPI 1336130756
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327536000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776816000000",
"number": "1356612063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5401 N. PORTLAND AVE. SUITE 440",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "73112",
"telephone_number": "405-943-1137",
"fax_number": "405-947-0731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5401 N. PORTLAND AVE. SUITE 440",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "73112",
"telephone_number": "405-943-1137",
"fax_number": "405-947-0731"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UROLOGY SPECIALISTS OF CENTRAL OKLAHOMA, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-01-26",
"last_updated": "2026-04-22",
"certification_date": "2026-04-22",
"status": "A",
"authorized_official_last_name": "SAMARA",
"authorized_official_first_name": "EN",
"authorized_official_middle_name": "SHEA",
"authorized_official_title_or_position": "MANAGING PARTNER",
"authorized_official_telephone_number": "405-943-1137",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Urology",
"state": "OK",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200438780A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
- Urgent Care Travel, Inc
- Lakin Diane Urias, NP
- Urogynecology of Oklahoma PLLC
- Urology Affiliates of Oklahoma LLC
- Urology Associates, Inc.
- Urology Specialists of Central Oklahoma, LLC
- Urology Surgeons of Oklahoma PC
- Jaclyn C Urquiola Sorzano, D.O.
- Blanca Adriana Urriago-Haigood, M.S., CCC-SLP
- Anne Sigrid Urstad-Farrell, LPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2026; 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.