NPIMap

Individual provider Active NPI

David Henri Chansolme, MD

  • Infectious Disease Physician
  • Oklahoma City, OK
National Provider Identifier
1457343402
Registry record updated Feb 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
23723 Issued in OK
Practice address
4221 S Western Ave
#4010
Oklahoma City, OK 73109-3447
Phone
(405) 644-6464
Fax
(405) 644-6465
NPI assigned
Aug 16, 2005
Last updated
Feb 4, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 23723 OK Primary

Addresses

Primary practice location

4221 S Western Ave
#4010
Oklahoma City, OK 73109-3447

Mailing address

PO Box 720486
Norman, OK 73070-4357
Phone (405) 292-5500

Other identifiers 2

IdentifierTypeStateIssuer
200033350AMedicaidOK
P00174725OtherOKRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, TX2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040729000007 OK Practitioner - Infectious DiseasePractitioner - Internal Medicine 1557331782 Reassigns benefits to 2 organizations
I20160523001971 TX Practitioner - Infectious Disease 1557331782 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
University of Oklahoma College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Idcokc PLLCGroup PAC ID 0749631745, 4 clinicians

Practice addresses (Care Compare)

1921 Stonecipher Dr
Ada, OK 74820-3439
Phone (580) 436-3980

4221 S Western Ave
Suite 4010
Oklahoma City, OK 73109-3492
Phone (405) 644-6464

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
13.46 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
44.86

Merit-based Incentive Payment System (MIPS)

Final score
84.96 of 100Reported as individual
Quality
69.78
Improvement activities
40
Cost
67.02

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23723OKMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
David H Chansolme MD PC Infectious Disease CurrentSince Aug 1, 2004 Accepting new patients
Chickasaw Nation Division of Health Current Accepting new patients
Chickasaw Nation Division of Health Chickasaw Nation Medical Center CurrentSince Mar 19, 2016 Accepting new patients
Idcokc PLLC Infectious Disease CurrentSince Oct 1, 2023 Accepting new patients
Chickasaw Nation Division of Health CurrentSince Mar 19, 2016 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

1921 Stonecipher Dr
Ada, OK 74820
Phone (580) 421-4570

2510 Chickasaw Blvd
Ardmore, OK 73401
Phone (580) 226-8181

4221 S Western Ave
Ste 4010
Oklahoma City, OK 73109
Phone (405) 631-3435

4401 S Western Ave
Oklahoma City, OK 73109
Phone (405) 636-7000

5500 N Portland Ave
Oklahoma City, OK 73112
Phone (405) 605-4140

1438 Hardcastle Blvd
Purcell, OK 73080
Phone (405) 527-4700

817 E 6th St
Tishomingo, OK 73460
Phone (580) 371-2392

Interoperability endpoints

  • Direct secure messaging: chansolme.david.005.0360010@dhc.meditab.direct-ci.com
  • Direct secure messaging: dchansolme@direct.uspi.com
  • Direct secure messaging: dchansolme40967@direct.chickasawnationhealth.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423008000000",
    "number": "1457343402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 720486",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730704357",
            "telephone_number": "405-292-5500",
            "fax_number": "405-292-5505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4221 S WESTERN AVE",
            "address_2": "#4010",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731093447",
            "telephone_number": "405-644-6464",
            "fax_number": "405-644-6465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANSOLME",
        "first_name": "DAVID",
        "middle_name": "HENRI",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-16",
        "last_updated": "2015-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "OK",
            "license": "23723",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200033350A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00174725",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.