Organization Active NPI

Oklahoma Nephrology Associates Inc

  • Nephrology Physician
  • Oklahoma City, OK
National Provider Identifier
1407803380
Registry record updated May 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
OKLAHOMA NEPHROLOGY ASSOCIATES INC
Practice address
3366 NW Expressway BLDG D
Suite 730
Oklahoma City, OK 73112-4462
Phone
(405) 951-4944
Fax
(405) 951-4955
NPI assigned
May 27, 2006
Last updated
May 6, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2024

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

Authorized official

Name
Aly Aly, MDNPI 1316940117
Title
President
Phone
(405) 951-4944

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X Primary

Addresses

Primary practice location

3366 NW Expressway BLDG D
Suite 730
Oklahoma City, OK 73112-4462

Mailing address

3366 NW Expressway BLDG D
Suite 730
Oklahoma City, OK 73112-4462
Phone (405) 951-4944

Other identifiers 1

IdentifierTypeStateIssuer
100730540MedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040601000296 OK Part B Supplier - Clinic/Group Practice 7012998453 Receives reassigned benefits from 5 practitioners
Practice locations: Oklahoma City, OK

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
37D0696056Oklahoma Nephrology Associates3366 NW Expressway, BLDG D, Suite 730, Oklahoma City, OK 73112Certificate of waiverMay 7, 2028

National Provider Directory

National Provider Directory

Locations

10240 Broadway Ext
Oklahoma City, OK 73114
Phone (334) 678-1417

5401 N Portland Ave
Ste 270
Oklahoma City, OK 73112
Phone (405) 604-6464

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714953600000",
    "number": "1407803380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3366 NW EXPRESSWAY BLDG D",
            "address_2": "SUITE 730",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124462",
            "telephone_number": "405-951-4944",
            "fax_number": "405-951-4955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3366 NW EXPRESSWAY BLDG D",
            "address_2": "SUITE 730",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124462",
            "telephone_number": "405-951-4944",
            "fax_number": "405-951-4955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKLAHOMA NEPHROLOGY ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A",
        "authorized_official_last_name": "ALY",
        "authorized_official_first_name": "ALY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-951-4944",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100730540",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.