Individual provider Active NPI

Hani Ramzi Malati, M.D.

  • Otolaryngology Physician
  • Okmulgee, OK
National Provider Identifier
1568456499
Registry record updated Dec 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
14985 Issued in OK
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

Updated by the provider on Dec 10, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100031430AMedicaidOK

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
I20071109000202 OK Practitioner - OtolaryngologyPractitioner - Allergy/Immunology 5092803072 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14985OKMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adair County Health Center,Inc. CurrentSince Dec 4, 2007 Accepting new patients
Wagoner Hospital Authority CurrentSince Oct 1, 2015 Accepting new patients
Wagoner Hospital Authority CurrentSince Oct 1, 2015 Accepting new patients
Adair County Health Center, Inc. CurrentSince Dec 4, 2007 Accepting new patients
Adair County Health Center, Inc. Current Accepting new patients
Olakunle D. Ajanaku, MD. PC. PastSince Oct 29, 2007 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.