NPIMap

Individual provider Active NPI

Carlos Adrian Egas, M.D.

  • Surgery Physician
  • Oklahoma City, OK
National Provider Identifier
1417050626
Registry record updated Mar 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
25177 Issued in OK
Practice address
1211 N Shartel Ave Ste 902
Oklahoma City, OK 73103-2477
Phone
(405) 610-2400
Fax
(405) 610-2411
NPI assigned
Sep 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 25177 OK Primary

Addresses

Primary practice location

1211 N Shartel Ave Ste 902
Oklahoma City, OK 73103-2477

Mailing address

1211 N Shartel Ave Ste 902
Oklahoma City, OK 73103-2477
Phone (405) 610-2400

Other names 1

  • Charles Egas Other name

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
I20070116000110 OK Practitioner - General Surgery 6901851260 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1211 N Shartel Ave
Suite 902
Oklahoma City, OK 73103-2477
Phone (405) 610-2400

Hospital & facility affiliations

  • SSM Health St Anthony Hospital - Midwest Hospital, Midwest City, OK, CCN 370094
  • Integris Southwest Medical Center Hospital, Oklahoma City, OK, CCN 370106
  • SSM Health St Anthony Hospital - Oklahoma City Hospital, Oklahoma City, OK, CCN 370037
  • Weatherford Regional Hospital, Inc of Weatherford Hospital, Weatherford, OK, CCN 371323

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25177OKMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Riverwalk Surgical Services PLLC Surgery CurrentSince Mar 18, 2009 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
SSM Health Care of Oklahoma, Inc Past Accepting new patients
Summit Medical Center Past Accepting new patients
Midwest City Hma Physician Management, LLC Past Accepting new patients
Chilton Shelby Sugery, LLC Surgery Past Accepting new patients
Integris South Oklahoma City Hospital Corporation Past Accepting new patients

Locations

2801 Parklawn Dr
Ste 300
Midwest City, OK 73110
Phone (405) 610-2400

1211 N Shartel Ave
Ste 902
Oklahoma City, OK 73103
Phone (405) 601-2400

Interoperability endpoints

  • Direct secure messaging: cegas37432@direct-ehr-ssmhc.com
  • Direct secure messaging: cegas834@yourcarecommunity.org
  • FHIR API: https://api.platform.athenahealth.com/2003/brand/1/csg/1/fhir/r4

Organizations & group practices 7

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 10

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": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773792000000",
    "number": "1417050626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 N SHARTEL AVE STE 902",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731032477",
            "telephone_number": "405-610-2400",
            "fax_number": "405-610-2411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 N SHARTEL AVE STE 902",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731032477",
            "telephone_number": "405-610-2400",
            "fax_number": "405-610-2411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGAS",
        "first_name": "CARLOS",
        "middle_name": "ADRIAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OK",
            "license": "25177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHARLES",
            "last_name": "EGAS",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.