Individual provider Active NPI

Gitanjali Pai, MD

  • Infectious Disease Physician
  • Wagoner, OK
National Provider Identifier
1518197524
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
33250 Issued in OK
Practice address
1202 W Cherokee St Ste D
Wagoner, OK 74467-4629
Phone
(918) 485-1205
Fax
(918) 485-1695
NPI assigned
Jul 24, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 33250 OK Primary
Internal Medicine Physician 207R00000X 33250 OK

Addresses

Primary practice location

1202 W Cherokee St Ste D
Wagoner, OK 74467-4629

Mailing address

1200 W Cherokee St
Wagoner, OK 74467-4624
Phone (918) 485-5514

Other practice location 1

1200 W Cherokee St
Wagoner, OK 74467-4624
Phone (918) 485-5514

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
I20180202000934 OK Practitioner - Infectious Disease 3476774027 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wagoner Hospital AuthorityGroup PAC ID 0042217531, 20 clinicians

Practice addresses (Care Compare)

1202 W Cherokee St
Suite D
Wagoner, OK 74467-4629
Phone (918) 485-1205

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33250OKMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adair County Health Center, Inc. CurrentSince Jan 1, 2018 Accepting new patients
Adair County Health Center, Inc. Current Accepting new patients
Wagoner Hospital Authority Current Accepting new patients
Adair County Health Center,Inc. CurrentSince Jan 1, 2018 Accepting new patients
Wagoner Hospital Authority CurrentSince Apr 29, 2025 Accepting new patients
Holyoke Health Center Inc. Past Accepting new patients

Locations

1401 W Locust St
Ste 102
Stilwell, OK 74960
Phone (918) 696-3101

1401 W Locust St
Stilwell, OK 74960
Phone (918) 696-3101

1200 W Cherokee St
Wagoner, OK 74467
Phone (918) 485-1240

1202 W Cherokee St
Ste D
Wagoner, OK 74467
Phone (918) 485-0091

Interoperability endpoints

  • Direct secure messaging: gitanjali.pai.1@14254.direct.athenahealth.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.

NPI Registry JSON

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

{
    "created_epoch": "1248393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746057600000",
    "number": "1518197524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 W CHEROKEE ST",
            "city": "WAGONER",
            "state": "OK",
            "postal_code": "744674624",
            "telephone_number": "918-485-5514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 W CHEROKEE ST STE D",
            "city": "WAGONER",
            "state": "OK",
            "postal_code": "744674629",
            "telephone_number": "918-485-1205",
            "fax_number": "918-485-1695"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 W Cherokee St",
            "address_purpose": "LOCATION",
            "city": "Wagoner",
            "state": "OK",
            "postal_code": "744674624",
            "country_code": "US",
            "telephone_number": "918-485-5514",
            "fax_number": "918-485-1385",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAI",
        "first_name": "GITANJALI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-24",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "OK",
            "license": "33250",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "33250",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wagoner, OK

Sources for this page

Verify at the official NPI Registry.