Individual provider Active NPI

Marvin L Peyton, M.D.

  • Psychiatry Physician
  • Oklahoma City, OK
National Provider Identifier
1578644803
Registry record updated Mar 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
24005 Issued in OK
Practice address
2301 W I 44 Service Rd
Suite 300
Oklahoma City, OK 73112-8729
Phone
(405) 607-2233
Fax
(405) 286-1303
NPI assigned
Oct 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 24005 OK Primary

Addresses

Primary practice location

2301 W I 44 Service Rd
Suite 300
Oklahoma City, OK 73112-8729

Mailing address

2301 W I 44 Service Rd
Suite 300
Oklahoma City, OK 73112-8729
Phone (405) 607-2233

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
I20070730000229 OK Practitioner - Psychiatry 2264533629 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Oklahoma College of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
KP Medical Group LLCGroup PAC ID 1153559752, 4 clinicians

Practice addresses (Care Compare)

2301 W I 44 Service Rd
Suite 300
Oklahoma City, OK 73112-8766
Phone (405) 607-2233

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24005OKMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
KP Medical Group, LLC CurrentSince Oct 26, 2015 Accepting new patients

Locations

2301 W I 44 Service Rd
Ste 300
Oklahoma City, OK 73112
Phone (405) 286-4359

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425513600000",
    "number": "1578644803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 W I 44 SERVICE RD",
            "address_2": "SUITE 300",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731128729",
            "telephone_number": "405-607-2233",
            "fax_number": "405-286-1303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 W I 44 SERVICE RD",
            "address_2": "SUITE 300",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731128729",
            "telephone_number": "405-607-2233",
            "fax_number": "405-286-1303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEYTON",
        "first_name": "MARVIN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2015-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OK",
            "license": "24005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.