Individual provider Active NPI

Thingal G Masar, FNP-C

  • Family Nurse Practitioner
  • Lavon, TX
National Provider Identifier
1417600099
Registry record updated Feb 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
207455 Issued in OK
Practice address
496 Harding LN
Lavon, TX 75166-1879
Phone
(405) 496-6363
NPI assigned
Feb 2, 2022
Last updated
Feb 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1061915 TX
Family Nurse Practitioner 363LF0000X 207455 OK Primary

Addresses

Primary practice location

496 Harding LN
Lavon, TX 75166-1879

Mailing address

496 Harding LN
Lavon, TX 75166-1879

Other practice location 1

496 Harding Ln
Lavon, TX 75166-1879
Phone (405) 496-6363

Other practice location 2

1800 E Memorial Rd Ste 101
Oklahoma City, OK 73131-1827
Phone (405) 446-5714

Other identifiers 1

IdentifierTypeStateIssuer
201209510AMedicaidOK

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231114001379 OK Practitioner - Nurse Practitioner 3274980107 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
NR Shawnee LLCGroup PAC ID 8224476171, 7 clinicians
NR Midwest City LLCGroup PAC ID 9830554377, 5 clinicians

Practice addresses (Care Compare)

3700 N Kickapoo Ave
Suite 116
Shawnee, OK 74804-0007
Phone (405) 551-8103

8121 National Ave
Suite 105
Midwest City, OK 73110-7570
Phone (405) 694-4042

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
207455OKMDFamily Nurse Practitioner
1061915TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Addiction Wellness Center Ok LLC Multi-Specialty CurrentSince Feb 2, 2026 Accepting new patients
NR Midwest City LLC Multi-Specialty CurrentSince Jun 1, 2025 Accepting new patients
NR Shawnee, LLC Multi-Specialty CurrentSince Apr 1, 2024 Accepting new patients
Derm Institute of West Michigan PLC Multi-Specialty PastSince Aug 6, 2019 Accepting new patients

Locations

1100 Business Pkwy S
Ste 1
Westminster, MD 21157

3908 N Peniel Ave
Ste 450
Bethany, OK 73008

8121 National Ave
Ste 105
Midwest City, OK 73110
Phone (405) 694-4042

1800 E Memorial Rd
Ste 101
Oklahoma City, OK 73131
Phone (405) 446-5714

3705 NW 63rd St
Ste 101
Oklahoma City, OK 73116
Phone (405) 286-9903

3700 N Kickapoo Ave
Ste 116
Shawnee, OK 74804
Phone (405) 275-6747

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ez_00097

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, 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": "1643760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770768000000",
    "number": "1417600099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "496 HARDING LN",
            "city": "LAVON",
            "state": "TX",
            "postal_code": "751661879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "496 HARDING LN",
            "city": "LAVON",
            "state": "TX",
            "postal_code": "751661879",
            "telephone_number": "405-496-6363"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "496 Harding Ln",
            "address_purpose": "LOCATION",
            "city": "Lavon",
            "state": "TX",
            "postal_code": "751661879",
            "country_code": "US",
            "telephone_number": "405-496-6363",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1800 E Memorial Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731311827",
            "country_code": "US",
            "telephone_number": "405-446-5714",
            "fax_number": "405-497-6155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASAR",
        "first_name": "THINGAL",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-02",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1061915",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "207455",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201209510A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lavon, TX

Sources for this page

Verify at the official NPI Registry.