Individual provider Active NPI

Sudhir Thaduri, MD

  • Nephrology Physician
  • Oklahoma City, OK
National Provider Identifier
1467682344
Registry record updated Jul 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
41091 Issued in OK
Practice address
3400 NW Expressway Ste 700
Oklahoma City, OK 73112-4492
Phone
(405) 949-3816
Fax
(405) 945-5173
NPI assigned
Jul 25, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X MD.38115 AL
Nephrology Physician 207RN0300X 41091 OK Primary

Addresses

Primary practice location

3400 NW Expressway Ste 700
Oklahoma City, OK 73112-4492

Mailing address

3001 Quail Springs Pkwy FL 5
Oklahoma City, OK 73134-2640

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, OK2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190531000160 AL Practitioner - Nephrology 9739306747 Reassigns benefits to 1 organization
I20230526000416 OK Practitioner - Nephrology 9739306747 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Zuhdi Transplant PhysiciansGroup PAC ID 6507873403, 49 clinicians
Integris Ambulatory Care CorporationGroup PAC ID 2365408465, 687 clinicians

Practice addresses (Care Compare)

3300 NW
3444 Main Hospital
Oklahoma City, OK 73112-4418
Phone (405) 947-5557

3300 NW Expressway
Oklahoma City, OK 73112-4418
Phone (405) 949-3141

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.38115ALMDNephrology Physician
41091OKMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Zuhdi Transplant Physicians CurrentSince Jun 5, 2023 Accepting new patients
University of Alabama Health Services Foundation, PC. CurrentSince Jul 1, 2019 Accepting new patients
Integris Ambulatory Care Corporation Internal Medicine CurrentSince Jan 5, 2026 Accepting new patients
Integris Baptist Medical Center Inc Past Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients

Locations

619 19th St S
Birmingham, AL 35249

619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405

1717 6th Ave S
Birmingham, AL 35233
Phone (205) 934-3450

3300 NW Expressway St
Oklahoma City, OK 73112
Phone (405) 251-2815

3400 NW Expressway St
Ste 700
Oklahoma City, OK 73112
Phone (405) 945-4252

3300 N West Expy
#100344
Oklahoma City, OK 73112

3001 Quail Springs Pkwy
Fl 5
Oklahoma City, OK 73134

3400 NW Expressway
Ste 500
Oklahoma City, OK 73112
Phone (405) 945-4589

Interoperability endpoints

  • Direct secure messaging: sthaduri420861@direct.integrisok.com

Organizations & group practices 6

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1248480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689724800000",
    "number": "1467682344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 QUAIL SPRINGS PKWY FL 5",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731342640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 NW EXPRESSWAY STE 700",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124492",
            "telephone_number": "405-949-3816",
            "fax_number": "405-945-5173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THADURI",
        "first_name": "SUDHIR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-25",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "AL",
            "license": "MD.38115",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "OK",
            "license": "41091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.