Active NPI
Hani Ramzi Malati, M.D.
- Otolaryngology Physician
- Okmulgee, OK
National Provider Identifier
1568456499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 14985
- Practice address
- 1101 S Belmont Ave
Suite 101
Okmulgee, OK 74447-6315 - Phone
- (918) 756-9271
- Fax
- (918) 756-4695
- NPI assigned
- Sep 7, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 14985 | OK | Primary |
| Otolaryngic Allergy Physician | 207YX0602X | 14985 | OK |
Addresses
Primary practice location
1101 S Belmont Ave
Suite 101
Okmulgee, OK 74447-6315
Mailing address
1101 S Belmont Ave
Suite 101
Okmulgee, OK 74447-6315
Phone (918) 756-9271
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100031430A | Medicaid | OK |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14985 | OK | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adair County Health Center,Inc. | Current | Accepting new patients | |
| Wagoner Hospital Authority | Current | Accepting new patients | |
| Wagoner Hospital Authority | Current | Accepting new patients | |
| Adair County Health Center, Inc. | Current | Accepting new patients | |
| Adair County Health Center, Inc. | Current | Accepting new patients | |
| Olakunle D. Ajanaku, MD. PC. | 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
Interoperability endpoints
- hani.malati.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.
-
- Medical Specialty Clinic/Center
- Stilwell, OK
- NPI 1972780765
-
- General Acute Care Hospital
- Wagoner, OK
- NPI 1386611580
-
- Rural Acute Care Hospital
- Stilwell, OK
- NPI 1790753358
-
- Family Medicine Physician
- Stilwell, OK
- NPI 1326017492
-
- Rural Health Clinic/Center
- Wagoner, OK
- NPI 1366674772
-
- Internal Medicine Physician
- Okmulgee, OK
- NPI 1891905550
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260403200000",
"number": "1568456499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 S BELMONT AVE",
"address_2": "SUITE 101",
"city": "OKMULGEE",
"state": "OK",
"postal_code": "744476315",
"telephone_number": "918-756-9271",
"fax_number": "918-756-4695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 S BELMONT AVE",
"address_2": "SUITE 101",
"city": "OKMULGEE",
"state": "OK",
"postal_code": "744476315",
"telephone_number": "918-756-9271",
"fax_number": "918-756-4695"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALATI",
"first_name": "HANI",
"middle_name": "RAMZI",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-07",
"last_updated": "2009-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "OK",
"license": "14985",
"primary": true
},
{
"code": "207YX0602X",
"taxonomy_group": "",
"desc": "Otolaryngology, Otolaryngic Allergy",
"state": "OK",
"license": "14985",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100031430A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Okmulgee, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2009; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.