NPIMap

Individual provider Active NPI

Ashraf R Mihanni, MD

  • Emergency Medicine Physician
  • Lawton, OK
National Provider Identifier
1386630770
Registry record updated Apr 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
16578 Issued in OK
Practice address
3401 W Gore Blvd
Lawton, OK 73505
Phone
(580) 510-7037
Fax
(580) 510-7038
NPI assigned
Sep 21, 2005
Last updated
Apr 21, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 16578 OK Primary
Internal Medicine Physician 207R00000X 16578 OK

Addresses

Primary practice location

3401 W Gore Blvd
Lawton, OK 73505

Mailing address

PO Box 785
Lawton, OK 73502
Phone (580) 357-9984

Other identifiers 2

IdentifierTypeStateIssuer
4356523OtherOKAETNA
347459107OtherOKDOL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050221000708 OK Practitioner - Internal Medicine 9638128796 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1979
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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16578OKMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Hospital Medicine Associates PC CurrentSince Aug 1, 2019 Accepting new patients
Emergency Services of Oklahoma PC Emergency Medicine CurrentSince Jul 1, 2025 Accepting new patients
Altus Premier Health Clinic P.L.L.C. CurrentSince Mar 1, 2019 Accepting new patients
Integris Ambulatory Care Corporation Internal Medicine CurrentSince Dec 3, 2024 Accepting new patients
Integris South Oklahoma City Hospital Corporation Past Accepting new patients
Altus Surgical&Urology Associates, PLLC Past Accepting new patients

Locations

1200 E Pecan St
Altus, OK 73521
Phone (580) 379-5000

304 S Park Ln
Ste B
Altus, OK 73521
Phone (580) 379-6550

3401 W Gore Blvd
Lawton, OK 73505
Phone (580) 483-5207

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

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

4050 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 608-3200

1201 Health Center Pkwy
Yukon, OK 73099
Phone (405) 717-6800

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745193600000",
    "number": "1386630770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 785",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "73502",
            "telephone_number": "580-357-9984",
            "fax_number": "580-357-3277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 W GORE BLVD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "73505",
            "telephone_number": "580-510-7037",
            "fax_number": "580-510-7038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIHANNI",
        "first_name": "ASHRAF",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-21",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OK",
            "license": "16578",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "16578",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4356523",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOL",
            "identifier": "347459107",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawton, OK

Sources for this page

Verify at the official NPI Registry.