Individual provider Active NPI

Sarah Renae Elneser, D.O.

  • Family Medicine Physician
  • Jenks, OK
National Provider Identifier
1407018088
Registry record updated May 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4403 Issued in OK
Practice address
701 East Main Street
Jenks, OK 74037-4316
Phone
(918) 298-2264
Fax
(918) 298-0923
NPI assigned
Jun 25, 2008
Last updated
May 1, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4403 OK Primary

Addresses

Primary practice location

701 East Main Street
Jenks, OK 74037-4316

Mailing address

701 East Main Street
Jenks, OK 74037-4316
Phone (918) 298-2264

Other identifiers 1

IdentifierTypeStateIssuer
200202770AMedicaidOK

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
I20080829000158 OK Practitioner - Family Practice 6800962739 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Oklahoma State University College of Osteopathic Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ahs Oklahoma Physician Group LLCGroup PAC ID 9436122496, 314 clinicians

Practice addresses (Care Compare)

1305 E Taft Ave
Sapulpa, OK 74066-6033
Phone (918) 574-0300

20 E 34TH St
Sand Springs, OK 74063-4001
Phone (918) 245-9675

701 E Main St
Jenks, OK 74037-4316
Phone (918) 298-2264

8803 S 101St E Ave
Suite 165
Tulsa, OK 74133-5750
Phone (918) 459-8824

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ahs Oklahoma Physician Group LLC Family Medicine CurrentSince Sep 1, 2008 Accepting new patients
Ahs Oklahoma Physician Group, LLC CurrentSince Sep 1, 2008 Accepting new patients

Locations

701 E Main St
Jenks, OK 74037
Phone (918) 298-2264

20 E 34th St
Sand Springs, OK 74063
Phone (918) 245-9675

1145 S Utica Ave
Ste 110
Tulsa, OK 74104
Phone (918) 579-3825

Dept 1206
Tulsa, OK 74182

Interoperability endpoints

  • FHIR API: https://epicproxy.ardenthealth.com/fhir/UPC/api/FHIR/R4
  • Direct secure messaging: selneser113479@ahs.direct-ci.com

Organizations & group practices 2

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 7

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": "1214352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398902400000",
    "number": "1407018088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 EAST MAIN STREET",
            "city": "JENKS",
            "state": "OK",
            "postal_code": "740374316",
            "telephone_number": "918-298-2264",
            "fax_number": "918-298-0923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 EAST MAIN STREET",
            "city": "JENKS",
            "state": "OK",
            "postal_code": "740374316",
            "telephone_number": "918-298-2264",
            "fax_number": "918-298-0923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELNESER",
        "first_name": "SARAH",
        "middle_name": "RENAE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-25",
        "last_updated": "2014-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "4403",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200202770A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jenks, OK

Sources for this page

Verify at the official NPI Registry.