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Individual provider Active NPI

Anna Leigh Shadid, MD

  • Diagnostic Radiology Physician
  • Oklahoma City, OK
National Provider Identifier
1588825590
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
26507 Issued in OK
Practice address
4200 W Memorial Rd Ste 212
Oklahoma City, OK 73120-8305
Phone
(405) 752-3636
NPI assigned
Jun 23, 2008
Last updated
Mar 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 26507 OK Primary

Addresses

Primary practice location

4200 W Memorial Rd Ste 212
Oklahoma City, OK 73120-8305

Mailing address

PO Box 678019
Dallas, TX 75267-8019
Phone (405) 752-3636

Other identifiers 3

IdentifierTypeStateIssuer
0083321MedicaidOH
201168140MedicaidIN
7100240660MedicaidKY

Other names 1

  • Dr. Anna Leigh Shadid Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120907000604 OK Practitioner - Diagnostic Radiology 9739337205 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Oklahoma College of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Consultants PCGroup PAC ID 6204723547, 22 clinicians

Practice addresses (Care Compare)

1000 Hospital Cir
Kingfisher, OK 73750-5002
Phone (405) 375-3141

200 S Academy Rd
Guthrie, OK 73044-8727
Phone (405) 282-6700

4300 W Memorial Rd
Oklahoma City, OK 73120-8304
Phone (405) 755-1515

500 N Clarence Nash Blvd
Watonga, OK 73772-2845
Phone (580) 623-7211

520 S Mustang Rd
Yukon, OK 73099-6737
Phone (405) 936-5910

5401 W Memorial Rd
Oklahoma City, OK 73142-2026
Phone (405) 384-5250

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.67 of 100Reported as group
Quality
86.67
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson County Memorial Hospital Authority Past Accepting new patients

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1214179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1588825590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 678019",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752678019",
            "telephone_number": "405-752-3636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 W MEMORIAL RD STE 212",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731208305",
            "telephone_number": "405-752-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHADID",
        "first_name": "ANNA",
        "middle_name": "LEIGH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-23",
        "last_updated": "2025-03-05",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OK",
            "license": "26507",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0083321",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201168140",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100240660",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNA",
            "last_name": "SHADID",
            "middle_name": "LEIGH",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.