Individual provider Active NPI

Nevinson Pradeep Sam, D.O.

  • Pain Medicine (Anesthesiology) Physician
  • Oklahoma City, OK
National Provider Identifier
1497169213
Registry record updated Jan 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
6588 Issued in OK
Practice address
10001 S Western Ave Ste 101
Oklahoma City, OK 73139-2993
Phone
(405) 286-2725
Fax
(405) 286-2724
NPI assigned
Jun 19, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 6588 OK Primary
Anesthesiology Physician 207L00000X 6588 OK

Addresses

Primary practice location

10001 S Western Ave Ste 101
Oklahoma City, OK 73139-2993

Mailing address

10001 S Western Ave Ste 101
Oklahoma City, OK 73139-2993
Phone (405) 286-2725

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20190708002430 OK Practitioner - AnesthesiologyPractitioner - Interventional Pain ManagementPractitioner - Pain Management 3678825791 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
William Carey University College of Osteopathic Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hpi Physicians LLCGroup PAC ID 6406048289, 48 clinicians

Practice addresses (Care Compare)

14024 Quail Pointe Dr
Oklahoma City, OK 73134-1006
Phone (405) 242-2713

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
74.06 of 100Reported as individual
Quality
53.58
Promoting interoperability
100
Improvement activities
40
Cost
55.76

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6588OKMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Ou Health Partners, Inc CurrentSince Jul 1, 2021 Accepting new patients
Bruce a Mackey MD PC CurrentSince Aug 1, 2019 Accepting new patients
Western Oklahoma Anesthesia Consultants PLLC Anesthesiology CurrentSince Nov 1, 2023 Accepting new patients
Hpi Physicians LLC CurrentSince Feb 1, 2022 Accepting new patients
Ou Health Partners, Inc CurrentSince Jul 1, 2021 Accepting new patients
Board of Regents of the University of Oklahoma - Ou Physicians CurrentSince Jul 1, 2019 Accepting new patients
Board of Regents of the University of Oklahoma - Ou Physicians CurrentSince Jul 1, 2019 Accepting new patients
Community Hospital LLC Past Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

430 N Monte Vista St
Ada, OK 74820
Phone (580) 226-1251

3957 E Covell Rd
Edmond, OK 73034
Phone (405) 285-7246

1705 Renaissance Blvd
Ste 120
Edmond, OK 73013
Phone (405) 715-4496

1800 Renaissance Blvd
Edmond, OK 73013
Phone (405) 359-2400

1710 W 3rd St
Ste 100
Elk City, OK 73644
Phone (580) 255-1555

1801 W 3rd St
Elk City, OK 73644
Phone 5802255403677

4 E Clark Bass Blvd
McAlester, OK 74501
Phone (918) 421-6700

1 E Clark Bass Blvd
McAlester, OK 74501
Phone (918) 421-6941

920 Stanton L Young Blvd
Oklahoma City, OK 73104
Phone (405) 271-5251

825 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-4864

10001 S Western Ave
Ste 101
Oklahoma City, OK 73139
Phone (405) 310-6977

14024 Quail Pointe Dr
Oklahoma City, OK 73134
Phone (405) 419-8447

401 SW 80th St
Ste 200
Oklahoma City, OK 73139
Phone (405) 601-4227

900 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-2230

3701 E Main St
Weatherford, OK 73096
Phone (580) 772-5551

900 17th St
Woodward, OK 73801
Phone (405) 610-4411

Interoperability endpoints

  • Direct secure messaging: nsam479247@direct.integrisok.com

Organizations & group practices 9

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 11

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": "1403136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767657600000",
    "number": "1497169213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10001 S WESTERN AVE STE 101",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731392993",
            "telephone_number": "405-286-2725",
            "fax_number": "405-286-2724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10001 S WESTERN AVE STE 101",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731392993",
            "telephone_number": "405-286-2725",
            "fax_number": "405-286-2724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAM",
        "first_name": "NEVINSON",
        "middle_name": "PRADEEP",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-19",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "OK",
            "license": "6588",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OK",
            "license": "6588",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.