NPIMap

Individual provider Active NPI

Guruprasad Manjunath, M.D.

  • Nephrology Physician
  • Oklahoma City, OK
National Provider Identifier
1386640530
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
27494 Issued in OK
Practice address
3366 NW Expressway
Suite 550
Oklahoma City, OK 73112-4462
Phone
(405) 942-5442
Fax
(405) 942-6448
NPI assigned
Jun 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 27494 OK Primary

Addresses

Primary practice location

3366 NW Expressway
Suite 550
Oklahoma City, OK 73112-4462

Mailing address

3366 NW Expressway
Suite 550
Oklahoma City, OK 73112-4462
Phone (405) 942-5442

Other practice location 1

1703 Professional Cir Ste 101
Yukon, OK 73099-6497
Phone (405) 942-5442

Other practice location 2

1309 Holly Ave Ste 130
Yukon, OK 73099-5456
Phone (405) 942-5442

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
I20100420000749 OK Practitioner - Nephrology 0840392536 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Integris Ambulatory Care CorporationGroup PAC ID 2365408465, 687 clinicians
Kidney Specialists of Central Oklahoma, PCGroup PAC ID 7618904988, 18 clinicians

Practice addresses (Care Compare)

3300 NW Expressway
Oklahoma City, OK 73112-4418
Phone (405) 949-3141

3366 NW Expressway
Suite 550
Oklahoma City, OK 73112-4489
Phone (405) 942-5442

Hospital & facility affiliations

  • FKC - Lake Hefner Dialysis Dialysis facility, Warr Acres, OK, CCN 372500
  • Fmcna - Yukon JV Dialysis facility, Yukon, OK, CCN 372544
  • Integris Baptist Medical Center, Inc Hospital, Oklahoma City, OK, CCN 370028
  • Integris Health Edmond Hospital Hospital, Edmond, OK, CCN 370236
  • Integris Southwest Medical Center Hospital, Oklahoma City, OK, CCN 370106
  • Integris Canadian Valley Hospital Hospital, Yukon, OK, CCN 370211
  • Integris Health Enid Hospital Hospital, Enid, OK, CCN 370016

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
49428MNMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Integris Ambulatory Care Corporation CurrentSince Apr 1, 2023 Accepting new patients
Kidney Specialists of Central Oklahoma, PC Nephrology CurrentSince Apr 1, 2010 Accepting new patients
Kidney Specialists of Minnesota, PA Nephrology PastSince Jul 20, 1992 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients

Locations

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

3366 NW Expressway St
Ste 550
Oklahoma City, OK 73112
Phone (405) 942-5442

1703 Professional Cir
Ste 101
Yukon, OK 73099
Phone (405) 242-4100

Interoperability endpoints

  • Direct secure messaging: gmanjunath16074@direct.acumenmd.com

Organizations & group practices 4

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.

Hospital & facility affiliations 12

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": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1386640530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3366 NW EXPRESSWAY",
            "address_2": "SUITE 550",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124462",
            "telephone_number": "405-942-5442",
            "fax_number": "405-942-6448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3366 NW EXPRESSWAY",
            "address_2": "SUITE 550",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124462",
            "telephone_number": "405-942-5442",
            "fax_number": "405-942-6448"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1703 Professional Cir Ste 101",
            "address_purpose": "LOCATION",
            "city": "Yukon",
            "state": "OK",
            "postal_code": "730996497",
            "country_code": "US",
            "telephone_number": "405-942-5442",
            "fax_number": "405-942-6448",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1309 Holly Ave Ste 130",
            "address_purpose": "LOCATION",
            "city": "Yukon",
            "state": "OK",
            "postal_code": "730995456",
            "country_code": "US",
            "telephone_number": "405-942-5442",
            "fax_number": "405-942-6448",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANJUNATH",
        "first_name": "GURUPRASAD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "OK",
            "license": "27494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.