Active NPI
Mohanad Shukry, MD
- Anesthesiology Physician
- Oklahoma City, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 24127
- Practice address
- 750 NE 13TH St
Oac 200
Oklahoma City, OK 73104-5010 - Phone
- (405) 271-4351
- Fax
- (405) 271-8695
- NPI assigned
- Mar 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 24127 | OK | Primary |
Addresses
Primary practice location
750 NE 13TH St
Oac 200
Oklahoma City, OK 73104-5010
Mailing address
1122 NE 13TH St
Ori 236
Oklahoma City, OK 73117-1039
Phone (405) 271-1515
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
987400 Nebraska Medical Ctr
Unmc Physicians Nebraska Medical Center
Omaha, NE 68198-7400
Phone (402) 559-4000
Emile 42ND St
Omaha, NE 68198-0001
Phone (402) 559-4015
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Choa Hospital Based, LLC | Current | Accepting new patients | |
| Children'S Anesthesia Services, LLC | Current | Accepting new patients | |
| Unmc Physicians | Current | Accepting new patients | |
| Choa Multispecialty, LLC | Current | Accepting new patients |
Locations
1405 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 785-1112
2220 N Druid Hills Rd NE
Brookhaven, GA 30329
Phone (404) 778-1440
1001 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 785-2008
Emile 42nd St
Omaha, NE 68198
Phone (402) 552-6731
Interoperability endpoints
- mshukry11713@direct.chsomaha.org
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- Omaha, NE
- NPI 1417912114
-
- Pediatric Anesthesiology Physician
- Brookhaven, GA
- NPI 1437203098
-
- Pediatrics Physician
- Brookhaven, GA
- NPI 1457695488
-
- Pediatrics Physician
- Brookhaven, GA
- NPI 1437493467
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Omaha, NE
- NPI 1356307581
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299801600000",
"number": "1558339879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1122 NE 13TH ST",
"address_2": "ORI 236",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731171039",
"telephone_number": "405-271-1515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 NE 13TH ST",
"address_2": "OAC 200",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731045010",
"telephone_number": "405-271-4351",
"fax_number": "405-271-8695"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHUKRY",
"first_name": "MOHANAD",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-11",
"last_updated": "2011-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "OK",
"license": "24127",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2011; 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.