Ahmed Refat Abdelaziz, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

26276 Issued in OK

Practice address

1218 E 9TH St Ste 1
Edmond, OK 73034-5796

Phone

(405) 926-0444

Fax

(405) 896-6725

NPI assigned

Jul 7, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Sooner Psychiatry PLLC

  • Psychiatry Physician
  • Edmond, OK
  • NPI 1689921207
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1215388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516147200000",
    "number": "1467615765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1218 E 9TH ST STE 1",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730345796",
            "telephone_number": "405-926-0444",
            "fax_number": "405-896-6725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1218 E 9TH ST STE 1",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730345796",
            "telephone_number": "405-926-0444",
            "fax_number": "405-896-6725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REFAT ABDELAZIZ",
        "first_name": "AHMED",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-07",
        "last_updated": "2018-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OK",
            "license": "26276",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200399790B",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "45-5399237",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200339790A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tanisha Nacole Reed
• Marvin Joseph Reese, CSFA
• Alexis Reeves
• James Reeves III, DDS, MS
• Teresa Reeves, M.S.W
• Reflections of Change LLC
• Regal Healthcare LLC
• Regenerate Therapeutics, LLC (Wes Warner, LPC)
• Amy Catherine Reid, PHYSICAL THERAPIST
• Porsche A Reimer-Law

• Psychiatry Physician in Edmond, OK
• Providers in Edmond, OK by specialty
• Psychiatry Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2018; 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.