Active NPI
Mudassir Nawaz, M.D. PC
- Medical Specialty Clinic/Center
- Norman, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- License
- 24893
- Legal business name
- MUDASSIR NAWAZ, M.D. PC
- Practice address
- 500 E Robinson St
Suite 800
Norman, OK 73071-6697 - Phone
- (405) 321-1004
- Fax
- (405) 321-1074
- NPI assigned
- Dec 3, 2013
- Last updated
- Dec 3, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mudassir Nawaz, M.D.
- Title
- Owner
- Phone
- (405) 321-1004
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | 24893 | OK | Primary |
Addresses
Primary practice location
500 E Robinson St
Suite 800
Norman, OK 73071-6697
Mailing address
500 E Robinson St
Suite 800
Norman, OK 73071-6697
Phone (405) 321-1004
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200109440A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Mudassir Nawaz MD PC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Internal Medicine Physician
- Norman, OK
- NPI 1699196840
Member organizations 1
Organizations listed as members of this organization in the National Provider Directory.
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CFBIBA
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Internal Medicine Physician
- Norman, OK
- NPI 1396737789
-
- Adult Health Nurse Practitioner
- Norman, OK
- NPI 1790127397
-
- Family Nurse Practitioner
- Norman, OK
- NPI 1538551379
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386028800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1386028800000",
"number": "1447681390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 E ROBINSON ST",
"address_2": "SUITE 800",
"city": "NORMAN",
"state": "OK",
"postal_code": "730716697",
"telephone_number": "405-321-1004",
"fax_number": "405-321-1074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 E ROBINSON ST",
"address_2": "SUITE 800",
"city": "NORMAN",
"state": "OK",
"postal_code": "730716697",
"telephone_number": "405-321-1004",
"fax_number": "405-321-1074"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MUDASSIR NAWAZ, M.D. PC",
"organizational_subpart": "NO",
"enumeration_date": "2013-12-03",
"last_updated": "2013-12-03",
"status": "A",
"authorized_official_last_name": "NAWAZ",
"authorized_official_first_name": "MUDASSIR",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "405-321-1004",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": "OK",
"license": "24893",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200109440A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Norman, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.