Individual provider Active NPI

Masooda M Burki, MD

  • Psychiatry Physician
  • Lawton, OK
National Provider Identifier
1396891172
Registry record updated May 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
01047874 Issued in IN
Practice address
1602 SW 82ND Street
Lawton, OK 73505
Phone
(580) 536-0077
Fax
(580) 510-2869
NPI assigned
Jan 26, 2007
Last updated
May 27, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 01047874 IN Primary

Addresses

Primary practice location

1602 SW 82ND Street
Lawton, OK 73505

Mailing address

1602 SW 82ND Street
Lawton, OK 73505
Phone (580) 536-0077

Other names 1

  • Masooda Mukhtar Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080221000193 OK Practitioner - Psychiatry 6406821420 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01047874INMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwestern Surgical Affiliates, LLC CurrentSince Jul 1, 2009 Accepting new patients
Southwestern Physician Services LLC Psychiatry Past Accepting new patients
Valley Oaks Health Inc PastSince Jan 1, 1990 Accepting new patients

Locations

1602 SW 82nd St
Lawton, OK 73505
Phone (580) 536-0077

5606 SW Lee Blvd
Ste 205
Lawton, OK 73505
Phone (580) 531-6465

6215 W Gore Blvd
Lawton, OK 73505
Phone (580) 536-7711

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1821/brand/1/csg/22/fhir/r4

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432684800000",
    "number": "1396891172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1602 SW 82ND STREET",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "73505",
            "telephone_number": "580-536-0077",
            "fax_number": "580-510-2869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 SW 82ND STREET",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "73505",
            "telephone_number": "580-536-0077",
            "fax_number": "580-510-2869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKI",
        "first_name": "MASOODA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-26",
        "last_updated": "2015-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IN",
            "license": "01047874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MASOODA",
            "last_name": "MUKHTAR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lawton, OK

Sources for this page

Verify at the official NPI Registry.