Sergio Armando Porras

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

2443 Issued in OK

Practice address

1025 Straka Ter
Oklahoma City, OK 73139-2544

Phone

(405) 632-6688

NPI assigned

Jan 19, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Promoting interoperability

0

Improvement activities

0

Cost

0

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sporras144031@direct.integrisok.com

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.

• Ies HSP Oklahoma LLC

  • Hospitalist Physician
  • Lawton, OK
  • NPI 1518724616
  Medicare reassignment NPD
• Spectrum Rehab Specialists, LLC

  • Hospitalist Physician
  • Oklahoma City, OK
  • NPI 1447934047
  Medicare reassignment NPD
• Transitional Care Organization LLC

  • Hospitalist Physician
  • Oklahoma City, OK
  • NPI 1861150211
  Medicare reassignment NPD
• Icare Center LLC

  • Urgent Care Clinic/Center
  • Harrah, OK
  • NPI 1881190833
  Medicare reassignment
• Spectrum Healthcare Solutions, PLLC

  • Geriatric Medicine (Family Medicine) Physician
  • Oklahoma City, OK
  • NPI 1558816850
  Medicare reassignment

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

{
    "created_epoch": "1421625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607644800000",
    "number": "1427447176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 N GRAND BLVD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731071818",
            "telephone_number": "405-632-6688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 STRAKA TER",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731392544",
            "telephone_number": "405-632-6688"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2729 SW 56th St",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731195606",
            "country_code": "US",
            "telephone_number": "405-675-0787",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PORRAS",
        "first_name": "SERGIO",
        "middle_name": "ARMANDO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-01-19",
        "last_updated": "2020-12-11",
        "certification_date": "2020-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OK",
            "license": "2443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katarina Popovic, MD
• Jaime Popp, RN
• Niveditha Popuri, MD
• Margaret A Porembski, M.D.
• Jeffrey Ariel Porras, M.D.
• Xiomara Jacqueline Porras, RN
• Nicole Fay Porte, M.A.
• Porter Medical Associates Inc
• Andrea Denyse Porter
• Cara Porter, MD

• Medical Physician Assistant in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Medical Physician Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.